NU Intramurals Roster Form

Team Name:   Sport:   Division:  

Competition Level (for Soccer & Basketball only, all other please use NONE)

Manager
Last Name:  First Name:  
Telephone #: - -   E-mail address*:
(Please do not use a HOTMAIL e-mail, as you will not receive a confirmation due to some settings with Hotmail e-mail accounts).

Please check here if you would like to receive future e-mails about Intramural events.

Assistant Manager
Last Name:  First Name:  
Telephone #: - -   E-mail address:

ALL PARTICIPANT INFORMATION MUST BE COMPLETELY FILLED OUT OR IT WILL NOT BE ACCEPTED.

Number of players on your roster:

Please check days your team is unable to play:
Mon  Tue   Wed   Thurs   Fri   Sat   Sun

Do you want to enter your team in the All-Campus Championship? Yes      No

If yes, which division

(Please be advised that your NUID# is NOT YOUR SOCIAL SECURITY NUMBER, check myneu portal for your number!)

Players information:       [The Submit & Reset buttons are @ the bottom of the page.]

Player 1 (MANAGER)
Last Name:  First Name:  NU ID#: - -
Telephone #: - -   E-mail address:  
Status:   Gender:


Player 2 (ASSISTANT MANAGER)
Last Name:  First Name:  NU ID#: - -
Telephone #: - -   E-mail address:  
Status:   Gender:


Player 3
Last Name:  First Name:  NU ID#: - -
Telephone #: - -   E-mail address:  
Status:   Gender:


Player 4
Last Name: First Name:  NU ID#: - -
Telephone #: - -   E-mail address:  
Status:   Gender:


Player 5
Last Name:  First Name:  NU ID#: - -  
Telephone #: - -   E-mail address:  
Status:   Gender:


Player 6
Last Name:  First Name:  NU ID#: - -
Telephone #: - -   E-mail address:  
Status:   Gender:


Player 7
Last Name:  First Name:  NU ID#: - -
Telephone #: - -   E-mail address:  
Status:   Gender:


Player 8
Last Name:  First Name:  NU ID#: - -
Telephone #: - -   E-mail address:  
Status:   Gender:


Player 9
Last Name:  First Name:  NU ID#: - -
Telephone #: - -   E-mail address:  
Status:   Gender:


Player 10
Last Name:  First Name:  NU ID#: - -
Telephone #: - -   E-mail address:  
Status:   Gender:


Player 11
Last Name:  First Name:  NU ID#: - -
Telephone #: - -   E-mail address:  
Status:   Gender:


Player 12
Last Name:  First Name:  NU ID#: - -
Telephone #: - -   E-mail address:  
Status:   Gender:


Player 13
Last Name:  First Name:  NU ID#: - -
Telephone #: - -   E-mail address:  
Status:   Gender:


Player 14
Last Name:  First Name:  NU ID#: - -
Telephone #: - -   E-mail address:  
Status:   Gender:


Player 15
Last Name:  First Name:  NU ID#: - -
Telephone #: - -   E-mail address:  
Status:   Gender:



By pressing the SUBMIT BUTTON, I have read and understand the above statements, and agree to abide by all
policies set by the Department of Campus Recreation
, the Intramural Department, and all its representatives.