ࡱ> 685+ :bjbj .$DhDh,  8,*$NNNNN)))Z\\\\\\$!x))NNFNNZZN-B[ LF0"L""x)vTD7))) )))"))))))))) X x:  SUNY GENESEO INTERCOLLEGIATE ATHLETICS AND RECREATION INTRAMURAL ENTRY FORM TEAM NAME:_______________________________________ COMPETITIVE ________ Only 2 intercollegiate student athletes allowed (same sport as their varsity sport) RECREATIONAL ________ If you play on an intercollegiate athletic team, you cant compete in the same sport INTRAMURAL SPORT_________________________________________________________ MENS___________ WOMENS___________ ALL GENDER_________ TEAM CAPT. __________________EMAIL ADDRESS________________PHONE NUMBER________________ CO-CAPT._____________________EMAIL ADDRESS________________PHONE NUMBER________________ TEAM AVAILABILITY (General Times) CANNOT PLAY: MON. TUES. WED. THUR. SUN. 4 P.M. 5 P.M. 6 P.M. 7 P.M. 8 P.M. 9 P.M 10 P.M. 11 P.M. MIDNIGHT 1 A.M. 2 A.M. INFORMED CONSENT STATEMENT Participation in intramural events is voluntary. The undersigned acknowledge his / her understanding that the possibility of injury exist when participating in intramural events. Some examples of possible injuries that may occur are cuts, bruises, muscle strains, sprains, broken bones, concussions, and dislocations. The participant acknowledges his / her awareness that in the event of an injury, no compensation is available from Intercollegiate Athletics and Recreation, , or the State of New York, their members, agents, or employees. The participants responsibility to obtain appropriate insurance or pay all charges associated with the injury is hereby confirmed. I confirm that I have read the informed consent statement by signing below. I have signed this statement on my own free will and for the purpose of participating in activities that are sponsored by the Department of Intercollegiate Athletics and Recreation. NAME GENESEO ID NUMBER SIGNATURE 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. When registering for an event, all information on the sheet must be completed and returned to Merritt Athletic Center 110     8MNOXqҴo`Q?0hFq5CJOJQJ\aJ"h{B{hO@5CJOJQJ\aJhO@5CJOJQJ\aJhv5CJOJQJ\aJ"hzhO@5CJOJQJ\aJ"hzhO@5CJOJQJ\aJ"hvhv5CJOJQJ\aJh{B{h{B{CJOJQJaJhvh{B{CJOJQJaJh!x5CJOJQJ\aJ"hvh{B{5CJOJQJ\aJh{B{5CJOJQJ\aJhJ 5CJ OJQJ\8NO[ \ E #$d%d&d'dNOPQ#$d%d&d'dNOPQ$a$gd3Kgd{B{$a$gd{B{$a$      ' Z [ \    & ( B D E ` b p r Ǹ⭠yjjjjjjhFqhzCJOJQJaJhCJOJQJaJh$7CJOJQJaJhFqhJ CJOJQJaJhzhJ CJOJQJh3Kh3KOJQJhFq5CJOJQJ\aJhkzhJ CJOJQJaJh!xCJOJQJaJhkzh3KCJOJQJaJhkz5CJOJQJ\aJ)         ' ( / 0 9 : A B ] ^ _ o p   , о▇xxxhzhJ CJOJQJaJh{B{hJ CJOJQJaJhzhJ CJOJQJh!xCJOJQJaJhFqh`nnCJOJQJaJ"hFqhz5CJOJQJ\aJ"hFqhJ 5CJOJQJ\aJhFqhJ CJOJQJaJhFqhzCJOJQJaJ* o p EFUV7$d%d&d'd(d)fNOPQRSgd{B{$a$gdz#$d%d&d'dNOPQ , ]   ? r EF'SUV^_qsӵӵӥ~~qqqqqqqqqqqqqqhzhJ CJOJQJhCRCJOJQJaJh~CJOJQJaJh{B{hJ CJOJQJaJhzhJ 5CJOJQJ\h!x5CJOJQJ\aJhz5CJOJQJ\aJ"hzhJ 5CJOJQJ\aJhzhJ CJOJQJaJh!xCJOJQJaJ(7$d%d&d'd(d)fNOPQRSgdv7$d%d&d'd(d)fNOPQRSgd{B{ +,-./0123456789:ĵh<jh<UhvhFqCJOJQJaJhVCJOJQJaJhvhvCJOJQJaJhvhvCJOJQJhvCJOJQJhJ CJOJQJ,./1245789:gdv$a$gd3K ,1h/ =!"#$% x666666666vvvvvvvvv666666>6666666666666666666666666666666666666666666666666hH6666666666666666666666666666666666666666666666666666666666666666662 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@66666_HmH nH sH tH @`@ NormalCJ_HaJmH sH tH FF  Heading 1$$@&a$ >*OJQJB@B  Heading 2$@&5OJQJ\L@L  Heading 3$$@&a$5CJ OJQJ\DA D Default Paragraph FontViV  Table Normal :V 44 la (k (No List :B@: Body Text CJOJQJ44 v0Header  H$6/6 v0 Header CharCJaJ4 "4 v0Footer  H$6/16 v0 Footer CharCJaJPK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭Vj\{cp/IDg6wZ0s=Dĵw %;r,qlEآyDQ"Q,=c8B,!gxMD&铁M./SAe^QשF½|SˌDإbj|E7C<bʼNpr8fnߧFrI.{1fVԅ$21(t}kJV1/ ÚQL×07#]fVIhcMZ6/Hߏ bW`Gv Ts'BCt!LQ#JxݴyJ] C:= ċ(tRQ;^e1/-/A_Y)^6(p[_&N}njzb\->;nVb*.7p]M|MMM# ud9c47=iV7̪~㦓ødfÕ 5j z'^9J{rJЃ3Ax| FU9…i3Q/B)LʾRPx)04N O'> agYeHj*kblC=hPW!alfpX OAXl:XVZbr Zy4Sw3?WӊhPxzSq]y :#$  , :  : 8@0(  B S  ?cqR cqR cqR cqR cqR cqR cqR cqR )O d;,Sh;?*urn:schemas-microsoft-com:office:smarttags stockticker ,./12457;TZ<B,;3333[STU]^_K]Jr'S^s(+;[STU]^_K]Jr'S^s(+,;kz$7{4!<3KGL3RCR`nnFq!x{B{k'fvzO@J V~,.@:0@UnknownG.[x Times New Roman5Symbol3. .[x ArialMF ParadeCourier NewK@Palatino LinotypeC.,.{$ Calibri Light7..{$ CalibriA$BCambria Math"hdS"gb;F 88!0((3@P?2!xx-X  SUNY GENESEOSports and Rec Brooks Hawley Oh+'0 , L X d p|SUNY GENESEOSports and Rec Normal.dotmBrooks Hawley13Microsoft Office Word@@ 9%@sS@־[ 8 ՜.+,0 hp  (  SUNY GENESEO Title  !"#$&'()*+,./012347Root Entry F-B[ 91Table"WordDocument.$SummaryInformation(%DocumentSummaryInformation8-CompObjr  F Microsoft Word 97-2003 Document MSWordDocWord.Document.89q