IWU Athletics

Team Entry Signup Form

Name:
Email Address:

Sport
Team Name
Captain Co-Captain
Captain's Phone # Co-Captain's Phone#
Captain's Address Co-Captain's Address

Team Roster
Member Names
Eligibility
This certifies that I know and understand the Intramural Eligibility Rules and have completely checked my eligibility. If there is any discrepancy, I will assume full responsibility. I understand that failure to comply with these rules will result in disciplinary action.
Initials: