2016-17 Sports Pass Order Form

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2016-2017 ALL SPORTS PASS OPTIONS All Sports Passes are honored at all Fairmont High School, Kettering Middle School and Van Buren Middle School HOME athletic contests (certain limitations apply*). Adult All Sports Pass - Provides admission for one adult to ALL High School and Middle School Home games for the 2016-2017 school year.

New Pass: $70.00 Renewal: $65.00

Student All Sports Pass (Students Grade 1-12) -Provides admission for one student, to ALL High School and Middle School Home games for the 2016-2017 school year.

New Pass: $40.00 Renewal: $35.00

Senior All Sports Pass (for adults aged 55-59 )- Provides admission for one senior adult to ALL High School and Middle School Home games for the 2016-2017 school year.

New Pass: $40.00 Renewal: $35.00

IF YOU PURCHASED AN ALL SPORTS PASS THIS PAST SCHOOL YEAR (2016-2017) ALL YOU NEED TO DO IS RENEW YOUR PASS. If you have discarded or lost that Pass, YOU MUST PURCHASE A NEW PASS. Seniors are Special Club (Kettering residents only-age 60 and over) This Free Lifetime All Activities and Sports Pass for one to all Kettering City School District Activities (includes HOME athletic contests) is available at the Board of Education only. For more information call 499-1458 *SPORTS PASS LIMITATIONS: 1. Passes are limited to the person whose name appears on the pass, misuse will result in forfeiture of pass. 2. Passes cannot be used for any Greater Western Ohio Conference (GWOC) tournament, OHSAA sectional, district games or contests held at any Kettering City School District Facility, the Nutter Center, UD Arena and certain other tournaments. 3. There is no reduced fee for a pass as the year progresses. 4. $10.00 replacement fee will be charged for any lost/stolen pass. 5. Report lost or stolen card immediately.

YOU CAN ORDER OR RENEW A PASS ONLINE USING A CREDIT CARD FOR PAYMENT AT: www.firebirdathletics.com New passes ordered online must be picked up in person at the Fairmont Athletic Department. Your online receipt is required for pick-up.

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2016-2017 FIREBIRD ALL SPORTS PASS ORDER FORM PASSES ARE GOOD FOR ALL FAIRMONT HIGH SCHOOL, KETTERING MIDDLE SCHOOL AND VAN BUREN MIDDLE SCHOOL HOME ATHLETIC CONTESTS (CERTAIN LIMITATIONS APPLY)*. IF YOU HAVE LOST LAST YEAR'S CARD, YOU MUST PURCHASE A NEW PASS. Be sure to include your Pass Number if you are purchasing a renewal (bar code number on back of pass). PURCHASER INFORMATION (REQUIRED) - ORDERS WITH INCOMPLETE INFORMATION CANNOT BE PROCESSED Name

Phone

Address

City, Zip

Email Address

STUDENT (GRADES 1-12) ALL SPORTS PASS @ $40.00; RENEWAL @ $35.00 (Grade and student ID# must be specified). Pass# (bar code on back of 2015-2016 pass) must be included for a renewal. □New Pass $40 □Renewal $35

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□New Pass $40

Student Name/Grade/ID#

□Renewal $35

Pass#____________

Pass#____________

□New Pass $40

□New Pass $40

□Renewal $35 Pass#____________

Total

Student Name/Grade/ID#

□Renewal $35 Pass#____________

Student Name/Grade/ID#

Student Name/Grade/ID# TOTAL

$$

ADULT ALL SPORTS PASS @ $70.00; RENEWAL @ $65.00 Pass# (bar code on back of 2015-2016 pass) must be included for a renewal. □New Pass $70 □Renewal $65

//// Name

□Renewal $65

Pass#____________

Total

□New Pass $70 Name

Pass#____________ TOTAL

$$

SENIOR ALL SPORTS PASS (AGES 55-59) @ $40.00; RENEWAL @ $35.00 Pass# (bar code on back of 2015-2016 pass) must be included for a renewal. □New Pass $40 □Renewal $35 Pass#____________

//// Senior Name

Total

□New Pass $40 □Renewal $35

Senior Name

Pass#____________ TOTAL

NEW PASSES MUST BE PICKED UP IN PERSON AT THE FAIRMONT ATHLETIC OFFICE AFTER AUGUST 8. NO NEED TO PICK UP RENEWAL PASSES.

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TOTAL # OF PASSES ORDERED TOTAL AMOUNT ENCLOSED

$

Please return this page with your order and check made payable to Kettering City Schools to: Fairmont Athletic Department, 3301 Shroyer Rd, Kettering, OH 45429 We will be happy to mail your new passes provided we receive your order PRIOR to July 29, 2016 and you provide a self-addressed, stamped envelope. with sufficient postage *SPORTS PASS LIMITATIONS: 1. Passes are limited to the person whose name appears on the pass, misuse will result in forfeiture of pass. 2. Passes cannot be used for any Greater Western Ohio Conference (GWOC) tournament, OHSAA sectional, district games or contests held at any Kettering City School District Facility, the Nutter Center, UD Arena and certain other tournaments. 3. There is no reduced fee for a pass as the year progresses. 4. $10.00 replacement fee will be charged for any lost/stolen pass. 5. Report lost or stolen card immediately.

Go Firebirds!

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