STUDENT NAME_______________________________ GRADE______ROOM NO.___________TEACHER_________________SHIRT COLOR BLACK RED SWEATSHIRT COLOR BLACK RED

V-NECK T-SHIRT HOODIE ZIP-UPSHIRT SIZE XS S M L XL SWEATSHIRT SIZE XS S M L XLADULT SIZES S M L XL 2X ADULT SIZES S M L XL 2X

STUDENT NAME_______________________________ GRADE______ROOM NO.___________TEACHER_________________SHIRT COLOR BLACK RED SWEATSHIRT COLOR BLACK RED

V-NECK T-SHIRT HOODIE ZIP-UPSHIRT SIZE XS S M L XL SWEATSHIRT SIZE XS S M L XLADULT SIZES S M L XL 2X ADULT SIZES S M L XL 2X

PARENT NAME: __________________PHONE OR EMAIL: ____________________AMOUNT ENCLOSED $___________CREDIT CARD ORDERS MUST BE DONE IN PERSON OR CONTACT PTA DIRECT (626) 705-0780PLEASE ALLOW 2-3 WEEKS DELIVERY

PTA USE ONLY: AMOUNT RECEIVED $______CASH__CHECK_______CC____SHIRTS DISBURSED______DATE_____