First Name:
Last Name:
Fitchburg State Username: @student.fsc.edu
Student ID # :
Preferred Email: (for league updates)
Primary Phone:
College Extension:
Status: Freshman Sophomore Junior Senior Grad Faculty Staff
Team Name (in capital letters):
Roster (you don't need to include the captain):
Restrictions (please indicate any information that the Intramurals Staff should be aware off)
IM Password:
Confirm Password:
If your submission is successful- you will see a confirmation message and your team will appear on the 'Registered Teams' page