FOOTBALL EQUIPMENT ISSUE FORM
FOOTBALL EQUIPMENT ISSUE FORM
Year __________ Year in School _______________
Name ________________________________________ Position ____________________
Age __________ Height __________ Weight __________
|Articles |Size |Number |Date Issued |Date Returned |
|Shoes | | | | |
|Practice Jersey | | | | |
|Practice Pants | | | | |
|Shoulder Pads | | | | |
|Girdle Pads | | | | |
|Thigh Pads | | | | |
|Knee Pads | | | | |
|Scrimmage Vest | | | | |
|Socks | | | | |
|T-shirt | | | | |
|Notebook | | | | |
|Game Jersey—“Home” | | | | |
|Game Jersey—“Away” | | | | |
|Game Pants | | | | |
|Game Hose | | | | |
|Special Equipment | | | | |
Address _______________________________________________ Phone #:________________
_______________________________________________
Family Doctor __________________________________________
Medical Exam Card ______________________________________
Patient Permission Slip ___________ Transportation Slip ___________
Locker #: ______________________ Lock #: ____________________
Combination ___________________
Homeroom _____________________
______________________________________________ _________________________
Signature Date
................
................
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