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registration form
UNLV IM SPORTS REGISTRATION FORM
Table Tennis Singles
ENTRY PERIOD:
Priority registration ends Friday April 18, 2014, at the end of
the SRWC Business Day. Late Registration will begin the next
available day.
REGISTRATION:
Registration forms must be submitted to the SRWC Service desk
prior to the conclusion of the registration period. Refunds will
not be processed unless the event or specific sections are
cancelled.
Priority Registration: $5 per team
Late Registration: $7 per team
SPORT FORMAT:
This sport event will be conducted in an OPEN PLAY ROUND ROBIN format on Monday,
April 28, 2014. An end of season tournament will start on Tuesday May 6, 2014.
ORIENTATION:
The Orientation Meeting will be held on Monday, April 28, 2014, at 6:00pm in the
SRWC LOBBY. Attendance is MANDATORY for all players.
REBEL CUP:
To register your organization/group for the Rebel Cup Competition, you must setup a
Group on IMLeagues.com under Campus Cup. Once completed, you may associate your
team to a group under the Team Settings. Participation in Rebel Cup through
IMLeagues.com will automatically include your organization/group in Team of the Year.
For more information, please see the Rebel Cup procedures at
http://unlvimsports.wordpress.com/2012/10/02/2012-13-rebel-cup-procedures/.
TEAM NAME: _____________________________________________________
CONFERENCE SELECTION
THIS IS A PREFERRED SELECTION; CONFERENCES MAY BE CONSOLIDATED
Men’s:
□ Open □ Greek
Women’s:
□ Open □ Greek
MANAGER CONTACT INFORMATION (ALL INFORMATION IS REQUIRED)
PRINTED NAME: _______________________________ REBEL CARD # : N __ __ __ __ __ __ __ __ __ __
SIGNATURE: ________________________
E-MAIL _____________
PHONE ( __ __ __ ) __ __ __ - __ __ __ __
□ @unlv.nevada.edu
□ @unlv.edu
□ @OTHER ________________________________
BY SUBMITTING THIS FORM, YOU
– AS TEAM MANAGER – ACCEPT ALL RULES AND POLICIES SET FORTH BY INTRAMURAL SPORTS.
COMPLETE THIS SECTION IF THE REGISTRATION PAYEE IS DIFFERENT THAN THE DESIGNATED TEAM MANAGER
PRINTED NAME: _______________________________ REBEL CARD #: N __ __ __ __ __ __ __ __ __ __
ADDRESS: _________________________________________________________________________
CITY ______________________________ ZIP __ __ __ __ __ PHONE ( __ __ __ ) __ __ __ - __ __ __ __
E-MAIL _____________
□ @unlv.nevada.edu
SIGNATURE ________________________________
□ @unlv.edu
□ @OTHER ________________________________
SERVICE ATTENDANT USE ONLY
ACTIVITY: 1 0 5 2 0 3
Date Paid: ____/____/____ Time: ____ : ____ A / P
Amount Paid: $__________ By: □ Cash
□ RebelCash
SECTION: _______
□ CC __ __ __ __ □ Check#_______
Receipt #:______________ Employee Printed Name:______________________
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