Intramural 5-on-5 Soccer

Event: Select Event Regular Season

First Name: Last Name:

UMass Boston Email: @umb.edu

Preferred Email: (for league updates)

Primary Phone: Secondary Phone:

Address:

Status: Freshman Sophmore Junior Senior Grad Faculty Staff

Enter your team's information and roster

Team Name (in capital letters):

Roster (you don't need to include the captain):

	First Name	Last Name	UMass Boston Email (omit @umb.edu)	Status
1				SelectFreshman Sophmore Junior Senior Grad Faculty Staff
2				SelectFreshman Sophmore Junior Senior Grad Faculty Staff
3				SelectFreshman Sophmore Junior Senior Grad Faculty Staff
4				SelectFreshman Sophmore Junior Senior Grad Faculty Staff
5				SelectFreshman Sophmore Junior Senior Grad Faculty Staff
6				SelectFreshman Sophmore Junior Senior Grad Faculty Staff
7				SelectFreshman Sophmore Junior Senior Grad Faculty Staff
8				SelectFreshman Sophmore Junior Senior Grad Faculty Staff
9				SelectFreshman Sophmore Junior Senior Grad Faculty Staff
10				SelectFreshman Sophmore Junior Senior Grad Faculty Staff
11				SelectFreshman Sophmore Junior Senior Grad Faculty Staff
12				SelectFreshman Sophmore Junior Senior Grad Faculty Staff

Scheduling Restrictions (please indicate when you are unable to play- see the Info Sheet for possible days/times)

Day: Every Fixed Date     Mon   Tue   Wed   Thu   Fri   Sat   Sun
Time: All Day Before After Between     12 1 2 3 4 5 6 7 8 9 10 11 00 15 30 45 PM AM   —   12 1 2 3 4 5 6 7 8 9 10 11 00 15 30 45 PM AM

I read and agree to the content of the Intramural Waiver

If your submission is successful- you will see a confirmation message and your team will appear on the 'Registered Teams' page