Roster Information
This information is required by the Club Sports office
First Name *
Your answer
Middle Initial
Your answer
Last Name *
Your answer
Email *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
UCI NetID (not ID number) *
Your answer
Gender *
For the shirt style
Cell Phone Number *
Your answer
Shirt Size *
First Name of Emergency Contact *
Your answer
Last Name of Emergency Contact *
Your answer
Phone Number of Emergenct Contact *
Your answer
Relationship to Emergency Contact *
Your answer
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