Blitzz Academy Jersey Order Form 2015

Your Local Fitness & Sporting Goods Store

Academy Jersey Order Form Jersey orders will be handed out during one of the first few scrimmages – you will not need to pick them up at the store.

Today’s Date: _______________ Player Last Name: ___________________ Parent’s Name: ___________________________

WHITE Jersey + Logo $10 (reg $14) BLUE Jersey + Logo $10 (reg $14) Navy Shorts $12 (reg $16)

First:______________

Age: _____ Team: U-_____ Boy / Girl

Cell Phone: ____________________

Yth Sm

Yth Med

Yth Lrg

Ad Sml

Ad Med

Ad Lrg

Yth Sm

Yth Med

Yth Lrg

Ad Sml

Ad Med

Ad Lrg

Yth Sm

Yth Med

Yth Lrg

Yth XL

Adult Sm

Adult Med

Waist: