ATTENTION:
Each person registering must provide name, banner number & read the Informed Consent Agreement to participate. Your registration will be rejected without this information.

Name:
 

Address:
 

Date:

Phone:

Affiliation:

Email:
 

Banner ID: (*xxxxxxxx)
 

Event:
  Please select one...................... Badminton 5 on 5 Basketball Bench Press Competition Billards and Bowling football Challenge Disc Golf Dodgeball Flag Football Ropes Course Challenge Kickball Noodle Water Polo Sand Volleyball Softball Soccer Swimming Table Tennis Handball Tennis Volleyball Jungle Pong Wrestling

Male Female

Swim Meet Categories:

25 Free 25 Breast 25 Back 25 Butterfly

50 Free 50 Breast 50 Back

100 Free 100 Medley

200 Medley

400 Free

I declare that I have read and understood the risk involved in participation in the Intramural program, services and facilities. I agree to the contents of this informed consent in its entirety.

YES        Click Here to read the Informed Consent form.