St. Rose Athletic Jacket Order Form
Please complete by Friday, March 16th.
Order will not be processed until check is received.
If you are ordering more than one jacket, please submit more than one form.
Please make checks payable to: Third Base Sports
Checks can be given to Dawn Reilly or sent through school C/O Adison Reilly 5A
Family Last Name
Name of Student Athlete
Size of Jacket
Athlete Name to be Displayed on Right Chest (If you do not want a name embroidered, please type "No Name" in the space below.)
Sport(s) to be Embroidered on Sleeve
Track and Field
No Sport(s) Embroidered
By checking the box below, I confirm that the size selected, spelling of athlete name, and sports to be embroidered are accurate.
Information is Correct
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