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Intramural Sign-up Form

5 on 5 Basketball League - TEAM Registration Form

Monday and Wednesday Evenings

Liability Waiver
Intramural Sports Liability Waiver (pdf)
Each participant must complete, save and submit the waiver as an attachment to thenderson2@cocc.edu before the first game. If you experience any problem viewing or filling out the PDF in your browser, try a different browser, or save the document to your computer then open it using the free Adobe Acrobat Reader.

Rules
League Rules (pdf)

Registration Form

Fee Information
League is free for all current COCC students and dually enrolled OSU-Cascades students. All other participants will be charged a $50.00 entry fee. Participants must pay upon registration! NO Team will be allowed to have more than one non-student on the roster. Team registration forms must be complete with a minimum of 8 participants on a roster to be accepted.

Team Roster
Note: Make sure you check this email address and the IM Basketball website for game times and schedule changes.

Team Captain:
First and last name
Player 2:
First and last name
Player 3:
First and last name
Player 4:
First and last name
Player 5:
First and last name
Player 6:
First and last name
Player 7:
First and last name
Player 8:
First and last name
Player 9:
First and last name
Player 10:
First and last name
Signature Check Box
By checking this box, I state that I have read the league rules. As team captain I understand I am responsible for my team's conduct and for upholding league rules before, during and after games. I also understand that I am responsible for my team filling out and submitting liability waivers before the are able to participate.

 

If you have questions please contact:

Joshua Motenko,
Assistant Director of Club and Intramural Sports
jmotenko@cocc.edu or 541-383-7794