Club Officer & Membership Roster

LOYOLA MARYMOUNT UNIVERSITY CAMPUS RECREATION
Club Sports Officer & Membership Roster

This form must be completed, kept up to date, and on file in the Club Sports Office within the Department of Campus Recreation. As additional members join the club, please provide an updated version of the roster by re-submitting the form.

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Club Name: ***Select a Club***Men's BaseballMen's Ice HockeyMen's LacrosseMen's RugbyMen's SoccerMen's VolleyballSki and SnowboardSurfTennisWomen's BasketballWomen's SoccerWomen's VolleyballWomen's Water Polo CLUB OFFICERS INFORMATION Each club must have at least three officers. Officer Name Officer Position ***Select a Position***PresidentVice PresidentSecretaryTreasurerOther Officer Name Officer Position ***Select a Position***PresidentVice PresidentSecretaryTreasurerOther Officer Name Officer Position ***Select a Position***PresidentVice PresidentSecretaryTreasurerOther Officer Name Officer Position ***Select a Position***PresidentVice PresidentSecretaryTreasurerOther Officer Name Officer Position ***Select a Position***PresidentVice PresidentSecretaryTreasurerOther CLUB SAFETY OFFICERS INFORMATION Name: Name: DESIGNATED CLUB SPORTS COUNCIL MEMBER Name: COACHES CONTACT INFORMATION (If Applicable) Club Coaches Name Email  Enter a valid email address. Example: name@company.com Phone Number  Enter a valid phone number. Example: 123-456-7890 Club Coaches Name Email  Enter a valid email address. Example: name@company.com Phone Number  Enter a valid phone number. Example: 123-456-7890 Club Coaches Name Email  Enter a valid email address. Example: name@company.com Phone Number  Enter a valid phone number. Example: 123-456-7890 MEMBER ROSTER INFORMATION Please ensure all club officers are listed in the roster data below. Each club MUST have at least ten (10) active members in order to be a recognized club. Name: Grade Level: ***Select Grade Level***FreshmanSophomoreJuniorSeniorGraduate Student ID #: Phone Number:  Enter a valid phone number. Example: 123-456-7890 Email: Name: Grade Level: ***Select Grade Level***FreshmanSophomoreJuniorSeniorGraduate Student ID #: Phone Number:  Enter a valid phone number. Example: 123-456-7890 Email: Name: Grade Level: ***Select Grade Level***FreshmanSophomoreJuniorSeniorGraduate Student ID #: Phone Number:  Enter a valid phone number. Example: 123-456-7890 Email: Name: Grade Level: ***Select Grade Level***FreshmanSophomoreJuniorSeniorGraduate Student ID #: Phone Number:  Enter a valid phone number. Example: 123-456-7890 Email: Name: Grade Level: ***Select Grade Level***FreshmanSophomoreJuniorSeniorGraduate Student ID #: Phone Number:  Enter a valid phone number. Example: 123-456-7890 Email: Name: Grade Level: ***Select Grade Level***FreshmanSophomoreJuniorSeniorGraduate Student ID #: Phone Number:  Enter a valid phone number. Example: 123-456-7890 Email: Name: Grade Level: ***Select Grade Level***FreshmanSophomoreJuniorSeniorGraduate Student ID #: Phone Number:  Enter a valid phone number. Example: 123-456-7890 Email: Name: Grade Level: ***Select Grade Level***FreshmanSophomoreJuniorSeniorGraduate Student ID #: Phone Number:  Enter a valid phone number. Example: 123-456-7890 Email: Name: Grade Level: ***Select Grade Level***FreshmanSophomoreJuniorSeniorGraduate Student ID #: Phone Number:  Enter a valid phone number. Example: 123-456-7890 Email: Name: Grade Level: ***Select Grade Level***FreshmanSophomoreJuniorSeniorGraduate Student ID #: Phone Number:  Enter a valid phone number. Example: 123-456-7890 Email: Name: Grade Level: ***Select a Grade Level***FreshmanSophomoreJuniorSeniorGraduate Student ID#: Phone Number:  Enter a valid phone number. Example: 123-456-7890 Email: Name: Grade Level: ***Select Grade Level***FreshmanSophomoreJuniorSeniorGraduateClick here to edit text. Student ID#: Phone Number:  Enter a valid phone number. Example: 123-456-7890 Email: Name: Grade Level: ***Select Grade Level***FreshmanSophomoreJuniorSeniorGraduateClick here to edit text.Click here to edit text. Student ID#: Phone Number:  Enter a valid phone number. Example: 123-456-7890 Email: Name: Grade Level: ***Select Grade Level***FreshmanSophomoreJuniorSeniorGraduate Student ID#: Phone Number:  Enter a valid phone number. Example: 123-456-7890 Email: Name: Grade Level: ***Select Grade Level***FreshmanSophomoreJuniorSeniorGraduateClick here to edit text. Student ID#: Phone Number:  Enter a valid phone number. Example: 123-456-7890 Email: Name: Grade Level: ***Select Grade Level***FreshmanSophomoreJuniorSeniorGraduateClick here to edit text.Click here to edit text. Student ID#: Phone Number:  Enter a valid phone number. Example: 123-456-7890 Email: Name: Grade Level: ***Select Grade Level***FreshmanSophomoreJuniorSeniorGraduate Student ID#: Phone Number:  Enter a valid phone number. Example: 123-456-7890 Email: Name: Grade Level: ***Select Grade Level***FreshmanSophomoreJuniorSeniorGraduateClick here to edit text. Student ID#: Phone Number:  Enter a valid phone number. Example: 123-456-7890 Email: Name: Grade Level: ***Select Grade Level***FreshmanSophomoreJuniorSeniorGraduateClick here to edit text.Click here to edit text. Student ID#: Phone Number:  Enter a valid phone number. Example: 123-456-7890 Email: Name: Grade Level: ***Select Grade Level***FreshmanSophomoreJuniorSeniorGraduate Student ID#: Phone Number:  Enter a valid phone number. Example: 123-456-7890 Email: Name: Grade Level: ***Select Grade Level***FreshmanSophomoreJuniorSeniorGraduateClick here to edit text. Student ID#: Phone Number:  Enter a valid phone number. Example: 123-456-7890 Email: Name: Grade Level: ***Select Grade Level***FreshmanSophomoreJuniorSeniorGraduateClick here to edit text.Click here to edit text. Student ID#: Phone Number:  Enter a valid phone number. Example: 123-456-7890 Email: Name: Grade Level: ***Select Grade Level***FreshmanSophomoreJuniorSeniorGraduate Student ID#: Phone Number:  Enter a valid phone number. Example: 123-456-7890 Email: Name: Grade Level: ***Select Grade Level***FreshmanSophomoreJuniorSeniorGraduateClick here to edit text. Student ID#: Phone Number:  Enter a valid phone number. Example: 123-456-7890 Email: Name: Grade Level: ***Select Grade Level***FreshmanSophomoreJuniorSeniorGraduateClick here to edit text.Click here to edit text. Student ID#: Phone Number:  Enter a valid phone number. Example: 123-456-7890 Email: Name: Grade Level: ***Select Grade Level***FreshmanSophomoreJuniorSeniorGraduate Student ID#: Phone Number:  Enter a valid phone number. Example: 123-456-7890 Email: Name: Grade Level: ***Select Grade Level***FreshmanSophomoreJuniorSeniorGraduateClick here to edit text. Student ID#: Phone Number:  Enter a valid phone number. Example: 123-456-7890 Email: Name: Grade Level: ***Select Grade Level***FreshmanSophomoreJuniorSeniorGraduateClick here to edit text.Click here to edit text. Student ID#: Phone Number:  Enter a valid phone number. Example: 123-456-7890 Email: Name: Grade Level: ***Select Grade Level***FreshmanSophomoreJuniorSeniorGraduate Student ID#: Phone Number:  Enter a valid phone number. Example: 123-456-7890 Email: Name: Grade Level: ***Select Grade Level***FreshmanSophomoreJuniorSeniorGraduateClick here to edit text. Student ID#: Phone Number:  Enter a valid phone number. Example: 123-456-7890 Email: Name: Grade Level: ***Select Grade Level***FreshmanSophomoreJuniorSeniorGraduateClick here to edit text.Click here to edit text. Student ID#: Phone Number:  Enter a valid phone number. Example: 123-456-7890 Email: Name: Grade Level: ***Select Grade Level***FreshmanSophomoreJuniorSeniorGraduate Student ID#: Phone Number:  Enter a valid phone number. Example: 123-456-7890 Email: Name: Grade Level: ***Select Grade Level***FreshmanSophomoreJuniorSeniorGraduateClick here to edit text. Student ID#: Phone Number:  Enter a valid phone number. Example: 123-456-7890 Email: Name: Grade Level: ***Select Grade Level***FreshmanSophomoreJuniorSeniorGraduateClick here to edit text.Click here to edit text. Student ID#: Phone Number:  Enter a valid phone number. Example: 123-456-7890 Email: Name: Grade Level: ***Select Grade Level***FreshmanSophomoreJuniorSeniorGraduate Student ID#: Phone Number:  Enter a valid phone number. Example: 123-456-7890 Email: Name: Grade Level: ***Select Grade Level***FreshmanSophomoreJuniorSeniorGraduateClick here to edit text. Student ID#: Phone Number:  Enter a valid phone number. Example: 123-456-7890 Email: Name: Grade Level: ***Select Grade Level***FreshmanSophomoreJuniorSeniorGraduateClick here to edit text.Click here to edit text. Student ID#: Phone Number:  Enter a valid phone number. Example: 123-456-7890 Email: Name: Grade Level: ***Select Grade Level***FreshmanSophomoreJuniorSeniorGraduate Student ID#: Phone Number:  Enter a valid phone number. Example: 123-456-7890 Email: Name: Grade Level: ***Select Grade Level***FreshmanSophomoreJuniorSeniorGraduateClick here to edit text. Student ID#: Phone Number:  Enter a valid phone number. Example: 123-456-7890 Email: Name: Grade Level: ***Select Grade Level***FreshmanSophomoreJuniorSeniorGraduateClick here to edit text.Click here to edit text. Student ID#: Phone Number:  Enter a valid phone number. Example: 123-456-7890 Email: Name: Grade Level: ***Select Grade Level***FreshmanSophomoreJuniorSeniorGraduate Student ID#: Phone Number:  Enter a valid phone number. Example: 123-456-7890 Email: Name: Grade Level: ***Select Grade Level***FreshmanSophomoreJuniorSeniorGraduateClick here to edit text. Student ID#: Phone Number:  Enter a valid phone number. Example: 123-456-7890 Email: Name: Grade Level: ***Select Grade Level***FreshmanSophomoreJuniorSeniorGraduateClick here to edit text.Click here to edit text. Student ID#: Phone Number:  Enter a valid phone number. Example: 123-456-7890 Email: Name: Grade Level: ***Select Grade Level***FreshmanSophomoreJuniorSeniorGraduate Student ID#: Phone Number:  Enter a valid phone number. Example: 123-456-7890 Email: Name: Grade Level: ***Select Grade Level***FreshmanSophomoreJuniorSeniorGraduateClick here to edit text. Student ID#: Phone Number:  Enter a valid phone number. Example: 123-456-7890 Email: Name: Grade Level: ***Select Grade Level***FreshmanSophomoreJuniorSeniorGraduateClick here to edit text.Click here to edit text. Student ID#: Phone Number:  Enter a valid phone number. Example: 123-456-7890 Email: Name: Grade Level: ***Select Grade Level***FreshmanSophomoreJuniorSeniorGraduate Student ID#: Phone Number:  Enter a valid phone number. Example: 123-456-7890 Email: Name: Grade Level: ***Select Grade Level***FreshmanSophomoreJuniorSeniorGraduateClick here to edit text. Student ID#: Phone Number:  Enter a valid phone number. Example: 123-456-7890 Email: Name: Grade Level: ***Select Grade Level***FreshmanSophomoreJuniorSeniorGraduateClick here to edit text.Click here to edit text. Student ID#: Phone Number:  Enter a valid phone number. Example: 123-456-7890 Email: Name: Grade Level: ***Select Grade Level***FreshmanSophomoreJuniorSeniorGraduate Student ID#: Phone Number:  Enter a valid phone number. Example: 123-456-7890 Email: Name: Grade Level: ***Select Grade Level***FreshmanSophomoreJuniorSeniorGraduateClick here to edit text. Student ID#: Phone Number:  Enter a valid phone number. Example: 123-456-7890 Email: Name: Grade Level: ***Select Grade Level***FreshmanSophomoreJuniorSeniorGraduateClick here to edit text.Click here to edit text. Student ID#: Phone Number:  Enter a valid phone number. Example: 123-456-7890 Email: Name: Grade Level: ***Select Grade Level***FreshmanSophomoreJuniorSeniorGraduate Student ID#: Phone Number:  Enter a valid phone number. Example: 123-456-7890 Email: Name: Grade Level: ***Select Grade Level***FreshmanSophomoreJuniorSeniorGraduateClick here to edit text. Student ID#: Phone Number:  Enter a valid phone number. Example: 123-456-7890 Email: Name: Grade Level: ***Select Grade Level***FreshmanSophomoreJuniorSeniorGraduateClick here to edit text.Click here to edit text. Student ID#: Phone Number:  Enter a valid phone number. Example: 123-456-7890 Email: Name: Grade Level: ***Select Grade Level***FreshmanSophomoreJuniorSeniorGraduate Student ID#: Phone Number:  Enter a valid phone number. Example: 123-456-7890 Email: Name: Grade Level: ***Select Grade Level***FreshmanSophomoreJuniorSeniorGraduateClick here to edit text. Student ID#: Phone Number:  Enter a valid phone number. Example: 123-456-7890 Email: Name: Grade Level: ***Select Grade Level***FreshmanSophomoreJuniorSeniorGraduateClick here to edit text.Click here to edit text. Student ID#: Phone Number:  Enter a valid phone number. Example: 123-456-7890 Email: Name: Grade Level: ***Select Grade Level***FreshmanSophomoreJuniorSeniorGraduate Student ID#: Phone Number:  Enter a valid phone number. Example: 123-456-7890 Email: Name: Grade Level: ***Select Grade Level***FreshmanSophomoreJuniorSeniorGraduateClick here to edit text. Student ID#: Phone Number:  Enter a valid phone number. Example: 123-456-7890 Email: Name: Grade Level: ***Select Grade Level***FreshmanSophomoreJuniorSeniorGraduateClick here to edit text.Click here to edit text. Student ID#: Phone Number:  Enter a valid phone number. Example: 123-456-7890 Email: Name: Grade Level: ***Select Grade Level***FreshmanSophomoreJuniorSeniorGraduate Student ID#: Phone Number:  Enter a valid phone number. Example: 123-456-7890 Email: Name: Grade Level: ***Select Grade Level***FreshmanSophomoreJuniorSeniorGraduateClick here to edit text. Student ID#: Phone Number:  Enter a valid phone number. Example: 123-456-7890 Email: Name: Grade Level: ***Select Grade Level***FreshmanSophomoreJuniorSeniorGraduateClick here to edit text.Click here to edit text. Student ID#: Phone Number:  Enter a valid phone number. Example: 123-456-7890 Email: Name: Grade Level: ***Select Grade Level***FreshmanSophomoreJuniorSeniorGraduate Student ID#: Phone Number:  Enter a valid phone number. Example: 123-456-7890 Email: SUBMITTERS INFORMATION: Submitted By: Email: Phone Number:  Enter a valid phone number. Example: 123-456-7890

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