Stetson Intramural Sports

2009-2010 Team Entry and Roster

(Please Print)

Sport: Coed Kickball League: Coed ____

Team Name: _________________________________________

Team Captain: ____________________________________ Phone #: ___________________________________

E-mail: ___________________________________

Ass't Captain: ____________________________________ Phone #: ___________________________________

E-mail: ___________________________________

Team Representative Meeting: Thur, Jan 14, 4 PM, Hollis Center

Playing Dates: Jan 19– Jan 21, 5:30 PM – 7:30 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. ______________________________________________ 8. ______________________________________________

2. ______________________________________________ 9. _____________________________________________

3. ______________________________________________ 10. ______________________________________________

4. ______________________________________________ 11. ______________________________________________

5. ______________________________________________ 12. ______________________________________________

6. ______________________________________________ 13. ______________________________________________

7. ______________________________________________ 14. ______________________________________________

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

Mon Tues Wed Thurs

5:30 pm

6:30 pm

7:30 pm

Key: O = Prefer to play at this day and time

X = Prefer not to play at this day and time

= Cannot play (Maximum 2)

_______________________________ ________________

Team Captain Signature date