Stetson Intramural Sports

2009-2010 Team Entry and Roster

(Please Print)

Sport: Dodgeball League: ____ Men's, ____ Women's

Team Name: _________________________________________ Playing for All-Sports Points _________

Team Captain: ____________________________________ Phone #: ___________________________________

E-mail: ___________________________________

Ass't Captain: ____________________________________ Phone #: ___________________________________

E-mail: ___________________________________

Official:_________________________________________

Team Representative Meeting: Tues, Mar 9, 4 PM, Hollis Center

Playing Dates: Mar 15-25 8:00 – 11:00 PM

Roster: PLEASE PRINT (List only those you expect to be playing – additions can be made at any time until last game of the season.)

First Name Last Name First Name Last Name

1. ______________________________________________ 7. ______________________________________________

2. ______________________________________________ 8. _____________________________________________

3. ______________________________________________ 9. ______________________________________________

4. ______________________________________________ 10. ______________________________________________

5. ______________________________________________ 11. ______________________________________________

6. ______________________________________________ 12. ______________________________________________

Information on rosters, eligibility, sportsmanship and conduct, forfeits, and liability waivers rules are printed in the 2009- 2010 Stetson University IM Sports Team Captain's Guide.

Team Captain Signature________________________________________ Date __________________________