Please fill out form completely.

Name (First, Last)

Address

City, State

Zip

What Kind of Address is it? (Check One)

Home

Off-campus apartment

UIC residence hall

E-mail

Mobile Phone Number

Univ. ID # (it's on your I-card!)

Yes, I would like to use this form as my membership into the FURY, the official student booster club of UIC Athletics. It is FREE and I will receive a FREE FURY T-shirt when I attend my first Flames event!

*you must be a registered student entering your freshman year at the University of Illinois at Chicago to enroll in and win the sweepstakes.