Team Name

Select a Sport
Flag Football Leagues Kickball Tournament Volleyball Leagues Basketball Leagues Softball Leagues Dodgeball Tournament

Team's Contact Person

Contact Person's Phone Number

Contact Person's Address

Contact Person's E-Mail

Please check the division that you wish your team to participate.

Conflicts:
All games will be played Monday through Thursday. (all teams will play two days a week, please list as to day and hour when your tear definitely cannot play).

Individual participants should be duly aware of the risks and hazards involved in intramural/University Recreation Programs and fitness activities and should voluntarily, and on an informed basis, elect to utilize ESU facilities and participate in programs recognizing present conditions. In consideration of the use of said facilities, participants agree to voluntarily assume all risks of loss, damage, or injury that may be sustained while using ESU facilities or participating in programs. These injuries may range from a slight bruise or scratch to broken bones, internal injuries that could cause brain damage or paralysis, injuries to the spine that may cause quadriplegia and other types of catastrophic injuries that may even result in death. University Recreation Programs assumes no responsibility for costs involved with individual injury or property damage incurred in connection with the use of University Facilities. Individuals are reminded that they should review their own personal circumstances to determine if they have adequate insurance or protection in case of an injury resulting from the use of the University facilities or participation in programs. It is recommended that all participants have a complete physical before engaging in any physical recreation programs. I hereby further release the State of Kansas, the Kansas Board of Regents, Emporia State University, University Recreation Programs, and their respective employees from all liability for any injury incurred through participation in any University Recreation Programs activity.

By entering your player information below, you are signifying that you have read the above liability and release waive and you agree to the terms stated above.

1) Player Name

Student I.D.

E-Mail Address

2) Player Name

Student I.D.

E-Mail Address

3) Player Name

Student I.D.

E-Mail Address

4) Player Name

Student I.D.

E-Mail Address

5) Player Name

Student I.D.

E-Mail Address

6) Player Name

Student I.D.

E-Mail Address

7) Player Name

Student I.D.

E-Mail Address

8) Player Name

Student I.D.

E-Mail Address

9) Player Name

Student I.D.

E-Mail Address

10) Player Name

Student I.D.

E-Mail Address

11) Player Name

Student I.D.

E-Mail Address

12) Player Name

Student I.D.

E-Mail Address

13) Player Name

Student I.D.

E-Mail Address

14) Player Name

Student I.D.

E-Mail Address

15) Player Name

Student I.D.

E-Mail Address

When submitting this form, your entry will not be considered complete until you come down to the service desk of the Student Recreation Center and pay the $30 entry fee.