Student Name: Grade:
School: Date of Request:
Item:Winter Jacket/Coat Snow Boots Winter hat Gloves Pants
Shirt
Sweater Sweatshirt/ light jacket Sneakers Other Shoes
Underwear Socks
Other (Pleas specify)
Other requested items
While we cannot promise to honor special request, any information about color and style preferences might be helpful in making clothing purchases. Please also feel free to give any other helpful information about the clothing request below:
CONTACT INFORMATION FOR PARENTS
Parent/Guardian name: Phone Number:
Email:
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