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.