INTRAMURAL CO-ED DODGEBALL REGISTRATION
Team Name: ____________________________________________
Captain (Contact Person): __________________________________
Cell Phone: ____________________ E-Mail: ___________________
Team Roster Must have at least 5 players and each team member
must be a SRC student or staff member to participate in intramurals
First & Last Names: E-Mail
1. ____________________________ ____________________
2. ____________________________ ____________________
3. ____________________________ ____________________
4. ____________________________ ____________________
5. ____________________________ ____________________
6. ____________________________ ____________________
7. ____________________________ ____________________
8. ____________________________ ____________________
9. ____________________________ ____________________
10.___________________________ ____________________
Play will begin November 5
th
@ MPB Gym
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