CLINTON BOYS & GIRLS CLUB UNIFORM RENTAL AGREEMENT
CLINTON BOYS & GIRLS CLUB UNIFORM RENTAL AGREEMENT The uniform you are issued is the property of the Clinton Boys and Girls Club (CBGC). Each player issued a uniform is responsible for properly handling and caring for it through the duration of the rental period. All players/parents must abide by the following terms and conditions while renting a CBGC uniform: 1. You are responsible for any stains, tears, or other damages to the uniform while in your care. 2. You are to keep the uniform clean and in its issued condition. Follow the washing instructions you have been provided with. Do NOT dry clean your uniform! 3. Uniforms are to be worn for designated CBGC sport activities/events only. Do not wear your uniform unless a coach has given you permission to do so. Wearing it for team pictures is ok. 4. Do NOT alter any part of your uniform. 5. Any individual misusing or abusing, including not properly cleaning, their uniform will lose the privilege to wear it. 6. All uniforms must be pressed by a dry cleaner prior to returning to the coach at the end of the season. Please keep the uniform on the hangers and covered by the plastic bag from the cleaners. 7. Any damages and/or unapproved alterations are subject to a fine. Any uniform not returned by the due date will be subject to a replacement fee of up to $200. The hold will be released and payment will processed on your credit card or check provided at time of rental pickup. I have read and understand the above terms and conditions for renting a Darby cheerleading uniform, and I agree to abide by this Uniform Rental Agreement. I understand if I violate these terms, I am financially responsible for any damages or loss caused. Print Name: __________________________________ Parent Signature: ______________________________________________ Date: _________________
Uniform Issued on:
Uniform Returned on:
Coach Name:
Child’s Name:
Sport Program:
Age Group:
Sport Season:
Sport Year:
Jersey Size: Jersey No: Shorts Size Shell Size Skirt Size: Helmet Size: Shoulder Pad No.#:
Condition:
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Condition: Condition: Condition: Condition: Condition:
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CREDIT CARD AUTHORIZATION Cardholder Name: _______________________________________________ Billing Address: __________________________________________________ City: __________________ State:_____ Zip:_________
Credit Card Type: ___Visa ____ MasterCard ____Discover ______ Amex Credit Card Number: ______________________________ Exp. Date: _______ CID# ______________ Amount to Charge: $___________ (USD) I authorize CBGC to charge my credit card for the uniform fee listed on the CBGC uniform rental agreement if I fail to adhere to the rental agreement policy. I understand that is my responsibility to know the date of “uniform return day”, in which notification will come via mass email from CBGC. Furthermore, I understand that once my credit card is charged for this fee, no refunds will be remitted, even if I return the uniform at a later date. I understand that CBGC abides by the Privacy Rules governing credit card transactions, including but not limited to the safeguarding of this form, which remains in a locked area in the CBGC office and will only be used if the terms of the rental agreement are not met. Print Name: _______________________________ Signature: _____________________________________________________
Date: ________________
CHECK AUTHORIZATION Check Received:
Check No.:
Check Amount:
Uniform Issued on:
Uniform Returned on:
Coach Name:
Child’s Name:
Sport Program:
Age Group:
Sport Season:
Sport Year:
Jersey Size: Jersey No: Shorts Size Shell Size Skirt Size: Helmet Size: Shoulder Pad No.#:
Condition:
1 2 3 4 5
Condition: Condition: Condition: Condition: Condition:
1 1 1 1 1
2 2 2 2 2
3 3 3 3 3
4 4 4 4 4
5 5 5 5 5
CREDIT CARD AUTHORIZATION Cardholder Name: _______________________________________________ Billing Address: __________________________________________________ City: __________________ State:_____ Zip:_________
Credit Card Type: ___Visa ____ MasterCard ____Discover ______ Amex Credit Card Number: ______________________________ Exp. Date: _______ CID# ______________ Amount to Charge: $___________ (USD) I authorize CBGC to charge my credit card for the uniform fee listed on the CBGC uniform rental agreement if I fail to adhere to the rental agreement policy. I understand that is my responsibility to know the date of “uniform return day”, in which notification will come via mass email from CBGC. Furthermore, I understand that once my credit card is charged for this fee, no refunds will be remitted, even if I return the uniform at a later date. I understand that CBGC abides by the Privacy Rules governing credit card transactions, including but not limited to the safeguarding of this form, which remains in a locked area in the CBGC office and will only be used if the terms of the rental agreement are not met. Print Name: _______________________________ Signature: _____________________________________________________
Date: ________________
CHECK AUTHORIZATION Check Received:
Check No.:
Check Amount:
