1. Student Name______________________________________
Homeroom Teacher__________________________________
Youth Small (6-8) ______x $10 each = $_______
Youth Med (10-12) ______x $10 each = $_______
Youth Large (14-16) ______x $10 each = $_______
Adult Small ______x $10 each = $_______
Adult Medium ______x $10 each = $_______
Adult Large ______x $10 each = $_______
Adult X-Large ______x $10 each = $_______
Adult 2XL ______x $12 each = $_______
Adult 3XL ______x $12 each = $_______
TOTAL $_______
Please Include
Payment With
Your Order --
Cash or Check
Make Checks
Payable to
Lisa Johnston