SPORT CAVALIERS QTY:_____ NAME:________ NUMBER:_______ SPORT:_____________
THE FOLLOWING INFO IS REQUIRED: FIRST/LAST NAME OF STUDENT:_______________________ EMAIL ADDRESS:__________________________ PHONE NUMBER:__________________________ MONEY DUE WITH ORDERS
MAKE CHECKS PAYABLE TO “LP BOOSTER CLUB” SEND ORDER/MONEY TO: DIANE BERGAGNA
U
CA
VALIERS
ALLE-PER AS
U
ALLE-PER AS
CA
U
ALLE-PER AS
U
CROSS COUNTRY QTY:_____
U
FOOTBALL QTY:_____ #:________
ALLE-PER AS
WRESTLING QTY:_____
L
VALIERS
SPECIAL OLYMPICS QTY:_____
VALIERS
U
CA
VALIERS
CA
SOFTBALL QTY:_____ #:________
U
VALIERS
ALLE-PER AS
CA
U
CA
CHEERLEADING QTY:_____
U
ALLE-PER AS
U
L
BASKETBALL QTY:_____ #:________
VALIERS
ALLE-PER AS
VALIERS
U
CA
TRACK QTY:_____
CA
U
VALIERS
VALIERS
U
CA
ALLE-PER AS
U
U
ALLE-PER AS
CA
CAVALETTES QTY:_____
L
VOLLEYBALL QTY:_____ #:________
VALIERS
L
CA
L
VALIERS
L
CA
ALLE-PER S A
U
L
L
L
L
ALLE-PER AS
U
ALLE-PER AS
U
ALLE-PER AS
U
ALLE-PER AS
U
ALLE-PER AS
U
L
DECALS 5”X 5”
L
$10.00 ALL DECALS
VALIERS
SOCCER QTY:_____ #:______
IN THE ATHLETIC OFFICE
TOTAL DECALS:___________________________ TOTAL AMOUNT:__________________________