Olathe Northwest Soccer Equipment Check-Out Form

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Spring 2024

First Name *

Last Name *

Team *

Varsity

Junior Varsity

Black Team

Year in School *

Freshman

Sophomore

Junior

Senior

T-Shirt Size *

Home Jersey Number (Replacement Cost - $50) *

Away Jersey Number (Replacement Cost - $50) *

Home Short Size (Replacement Cost - $35) *

Away Short Size (Replacement Cost - $35) *

Not Applicable

Bag Number OR Brand (Replacement Cost - $60) *

Warm-Up Jacket Size (Replacement Cost - $60) *

N/A

Warm-Up Pant Size (Replacement Cost - $40) *

N/A

Ball Checked Out (Replacement Cost - $25) *

Yes

Winter Jacket Checked Out (Replacement Cost - $80) NA for Not Applicable *

Yes

By placing your name below, you are assuming responsibility for all items listed and agree to keep all items in the best possible condition and return them at the request of the Head Coach. Check the information carefully before entering your name. You must pay the replacement cost for all items damaged or lost. All items not returned on uniform check-in day will immediately be charged to your school account.

First and Last Name *

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