Instructions for registration:
1. Print this packet. It will come with the official team entry form, player eligibility form,
estimated arrival form, Code of Conduct agreement and 16 player waivers.
a. Team entry form – must be fully completed and signed off on by IMS Professional before
it will be accepted
b. Player eligibility form – all players must put legal name, school ID and registrar for your
school must verify eligibility of class hours and stamp/sign form. Again, IMS
professional must sign off
c. Estimated arrival form – let us know when you are coming in. It will help us with
scheduling. If you live within four (4) hours of Nacogdoches, plan on playing one game
on Friday, 11/4.
d. Player Code of Conduct – all players must read, print and sign their names. There are 16
slots on the form for all players to sign on one form.
e. Waivers – there are 16 waivers attached to this entry packet. Each individual player must
complete their own individual waiver. Players can complete them on site when they
arrive, but it will be easier if they get completed and sent in with all other paperwork.
2. A team may submit a blank team entry form and payment to hold a spot for the tournament.
3. All payment by credit cards will be taken over the phone with Janice Casper. When you
paperwork is received, we will contact the person listed on the team entry form to arrange
payment. Receipts can be mailed, scanned and emailed or held for pick up on site.
4. Roster changes – will only be approved up until registration is done on Friday night in the
Student Recreation Center. A player must have all forms of documentation on hand to be
added to a roster (new roster form, new eligibility form, new code of conduct and new
waiver). All documents can be individually printed from tournament website. Failure to have
these papers will result in your player not be allowed to play.
5. ALL PLAYERS MUST HAVE THEIR STUDENT ID ON THEM AT ALL TIMES.
Drivers licenses may be acceptable if you are on the roster. No photo ID, no play.
NCCS Regional Flag Football
Stephen F. Austin State University
November 4-6, 2011
*** Official Entry Form ***
Mail forms to:
Janice Casper
PO Box 13016, SFA Station
Nacogdoches, TX 75961
College/University Name:
School Enrollment:
Team Name:
Division:
Team Rep:
Men ______
Address:
City:
Women
Co-Rec______
Team rep e-mail address
State:
Zip:
Ph:
By signing this statement of edibility understanding, I ________________________________ (name of Sport Club Director), have conferred with the team captain to attest that
each member of this roster has not already appeared on six NCCS/NIRSA National Tournament rosters, or six years of NCCS/NIRSA Regional Tournament rosters. All names
listed on this roster should meet ALL NCCS eligibility guidelines.
Please list your College/University’s requirement for full time enrollment =_________ credit hours
PH
email
Signature of Intramural Sports Director approving team entry
Incomplete forms or entries submitted without an entry form, entry fee, or Intramural Sports Director signature will NOT be accepted. An “original”
player certification form must be received by the entry deadline of Monday, October 31, 2011.
Please list players in ascending jersey number order. Roster limit: Fifteen (15) team members, sixteen (16) Co-Rec.
Jersey #
TEAM MEMBER
Former Collegiate
Listed on
Varsity Player
Varsity/NIRSA roster
EMAIL ADDRESS
prior to Fall 2005
YES / NO
YES / NO
YES / NO
YES / NO
YES / NO
YES / NO
YES / NO
YES / NO
YES / NO
YES / NO
YES / NO
YES / NO
YES / NO
YES / NO
YES / NO
YES / NO
YES / NO
YES / NO
YES / NO
YES / NO
YES / NO
YES / NO
YES / NO
YES / NO
YES / NO
YES / NO
YES / NO
YES / NO
YES / NO
YES / NO
YES / NO
YES / NO
*Roster is limited to 15 for men/women’s teams and 16 for co-rec teams.
Coaches:
_____
ENTRIES ACCEPTED: Monday, October 31, 2011 (Received by, not postmarked by) Entry Status Notification: Tuesday, November 1, 2011
ENTRY FEES:
NIRSA Institutional Member
Non-NIRSA Institutional Member
Early Bird: $300 (received prior to 10/21/11)
Early Bird: $325 (received prior to 10/21/11)
Late registration: $350
Late Registration: $350
• Entry Fees are non-refundable (Unless a team does not get into the tournament)
• In the event that the Championships are cancelled due to ANY circumstances beyond our control, expenses WILL NOT be refunded.
Payment Options: FOR ALL CREDIT CARD PAYMENTS, PLEASE CALL JANICE CASPER AT 936-468-1569. She will handle all credit card
payments over the phone so we do not lose or misplace any credit card information. Receipts can be mailed, scanned and emailed or faxed as requested.
*Roster is limited to 15 for men/women's teams, and 16 for co-rec teams.
_____ Fall 2011 Semester
Player's Name
Last
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
Signature
Student ID#
_____ Fall 2011 Quarter
Current
UG/GR
credits/units
Classification
(Fall 11)
First
UG/GR
UG/GR
UG/GR
UG/GR
UG/GR
UG/GR
UG/GR
UG/GR
UG/GR
UG/GR
UG/GR
UG/GR
UG/GR
UG/GR
UG/GR
UG/GR
Tournament play starts as early as 2:00p-3:00p due to team
numbers and our desire to finish at an appropriate time on
Sunday so as teams can travel as safely as possible back home.
Please give us some idea of your travel plans. If you live within
a four hour radius of Nacogdoches (roughly DFW, Houston,
Austin, Sulphur Springs), plan on playing one game Friday,
November 5.
Estimated day of arrival
Thursday
(please circle one)
Friday
Saturday
Estimated time of arrival (please circle one)
Early (8a-10a)
Before Lunch (10a-1p)
Afternoon (1p-4p) Late afternoon (4p-6p)
Night (6p-9p)