Co-ed Basketball Team Roster
Team Name:
Rec Activities - Montana State University Billings
Manager(s):
Email _________________________________________ Best Phone(s)____________________________
Co-ed Basketball is 5 on 5,
at least 2 Men & 2 Women
on Court at all times
Rosters Due Thursday, January 26th
Circle all times that you CAN PLAY.
Circle at least 6 times.
Monday
7:00pm 8:00pm
Tuesday
7:00pm 8:00pm
Wednesday
7:00pm 8:00pm
Thursday
7:00pm 8:00pm
9:00pm
9:00pm
9:00pm
9:00pm
Intramural sports are only available to current Montana State University Billings Students, Faculty, and Staff who have paid the Rec Fee. Spouses that are included on a family Rec Pass of a
student/staff may participate during games that the current student/staff plays. Any other persons wishing to become involved must request permission from the Recreational Activities office prior
to signing up on a roster. Limit of one male or female former varsity basketball player per team. (No limits on persons who played varsity basketball over 5 years ago). Varsity eligibility will only
be considered for 4-year programs. The decision of the Director of Recreational Activities is final.
Montana State University Billings does not provide medical insurance for injuries sustained during intramural contests. Therefore, it is strongly recommended that all participants subscribe to a
personal health insurance plan.
Name (Please print)
1
2
3
4
5
6
7
8
9
10
Live On Campus?
Email
I.D Number
Y
Y
Y
Y
Y
Y
Y
N
N
N
N
N
N
N
-0
-0
-0
-0
-0
-0
-0
Y
Y
Y
N
N
N
-0
-0
-0
Signature
The manager is responsible for checking the status of all participants on his/her team. Participation by non-approved persons will result in forfeiture of all games in which
that person participated. Manager's
Signature __________________________________ Date