CMS PE ORDER FORM
2009 - 2010
Students
Name: _________________________________ Grade ______ Period_______
Circle your
teachers name:
Carlson Pollock- Quesenberry Wojciechowski - Wright
REQUIRED ITEMS*
1. PE Shirt Mark the size and quantity (not a checkmark).
Adult
sm.___ Adult med.___ Adult lg.____ Adult
x-lg. _____ Cost: $7.00
Adult xx-lg.___ Adult xxx-lg.___ Cost: $8.00
2.
PE Shorts - Mark the size, length, and quantity (not a
checkmark).
9 inseam:
sm.___ med.___ lg.___ x-lg.___ Cost: $11.00
xx-lg.___ Cost: $12.00
3. PE Locker fee - $2.00
OPTIONAL ITEMS (Only available while supplies last)
4. PE blue nylon string gym
bag with CMS Logo, Cost: $ 5.00
______
5. CMS PE Crewneck (Ash) Sweatshirt,
Cost: $15.00 _______
6. CMS Hooded Sweatshirt (Blue
with Gold lining), Cost: $20.00 _____
7. CMS Sweatpants (Blue), Cost:
$15.00 ______
Sweatshirt: Adult
sm. ____ Adult
med. ____ Adult lg. ____ Adult x-lg. _____ XXL ____
Sweatpants: Adult sm. ____ Adult med. ____ Adult lg.
____ Adult x-lg. _____
XXL ____
...
*Please note: our
gym suit requirement is a plain, white T-shirt with no logo or writing on it
and blue mesh shorts with NO POCKETS, ZIPPERS, ETC. However we do ask that your name be clearly written
on both shirt and shorts. You may
purchase a set that we provide with a CMS logo on them or you may provide your
own.
Total
Order: Quantity
Unit price Sub-total
_______locker fee @ $2.00 _______
_______shirt(s) @
$7 or $8 _______
_______short(s) @ $11 or $12 _______
_______gym bag(s)
@ $5.00 _______
_______crewneck
sweatshirt @ $15.00 _______
_______blue hooded
sweatshirt @ $20.00 _______
_______blue sweatpants @ $15.00 _______
Total
Paid: $_______
Parent/Guardian Signature:____________________________________
Received by:
__________________________________ Date: ___________