2nd Life Letter Jacket Request Form
The 2nd Life Letter Jacket is reserved for students who would have difficulty obtaining a letter jacket without the help of this program. All patches and names have been removed (other than the Eastview logos) and each jacket has been professionally cleaned. The names of students who receive a jacket are kept confidential.

Jackets will be given out based on the number requested and sizes available. In the event that we do not have enough jackets to meet the requests, we will keep the names should more jackets be donated in the future.

Student's First Name *
Your answer
Student's Last Name *
Your answer
Student's Grade Level *
Activities that the student has earned a varsity letter:
Your answer
Jacket size requested *
Provide the NAME of the adult who is recommending the student for a jacket. *
Your answer
Provide the PHONE NUMBER of the adult who is recommending the student for a jacket. *
Your answer
Provide the EMAIL ADDRESS of the adult who is recommending the student for a jacket. *
Your answer
Statement Of Need - Please provide a brief description as to why a letter jacket is being requested from this program. *
Your answer
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