Blue Coat Order Form

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The blue coat and name tag you will receive during the Blue Coat Ceremony are provided free of charge. Please complete the following information no later than May 12th, 2023 so we can place the order for the class. These coats are different than the gowns you will wear in anatomy. Blue coats are used for clinical skills and additional labs throughout Phase I. If you wish to order extra coats, you may do so through the LSU Bookstore.

Legal Name *

Preferred Name *

E-mail *

Primary phone number *

Select your size for your FREE Required Blue Lab Coat (this is the one that is yours to keep and you will be responsible for). The following chart may be used as a guide for determining the correct size to order. The lab coats are unisex. Please note: XXS is not available. *

2XL

3XL

4XL

Name exactly as it should appear on school nametag *

Name exactly as it should appear on class oath and official program of recognition *

Phonetic pronunciation of first name that appears on program/oath (e.g. Jennifer is JEH-nih-fur ) *

Phonetic pronunciation of last name that appears on program/oath (e.g. Sanchez is SAHN-chez) *

I acknowledge that I if I wish to purchase additional items, I must purchase those items through the LSU Barnes & Noble Bookstore. LSU SVM will not purchase additional items on my behalf.
*

Yes

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