Berea Youth Soccer

TRAVEL UNIFORM PACKAGE ORDER FORM

Player Name: _________________________________________________

Age Group: Girls U-______ Boys U-_______

3 Choices for Numbers: First Choice: ________ Second Choice: _______ Third Choice: _______

Address: _________________________________ City: _____________ Zip: _____________

Phone Number: ________________________________ Phone # 2: ____________________________

E-Mail Address: _______________________________________________________________________

Packages:

Travel Uniform Package (Required for all Travel Players):

Adidas Jersey with White Number and White BYSC Logo-University Red

Size (Circle Choice): YS, YM, YL, YXL, AS, AM, AL, AXL

Adidas Shorts-University Red

Size (Circle Choice): YS, YM, YL, YXL, AS, AM, AL, AXL

Adidas Copa Zone Socks-University Red

Size (Circle Choice): YS (Shoe Size 13C-4Y) YM (Shoe Size 4Y-6Y)

YL (Shoe Size 7 and up)

*All items above are included in this package: $50.00

Optional Items:

White T-Shirt with Red Logo and Uniform Number $ 5.00 -Optional

Size (Circle Choice): YS, YM, YL, YXL, AS, AM, AL, AXL

Red Hoodie with White Logo and Last Name on Back $35.00- Optional

Size (Circle Choice): YS, YM, YL, YXL, AS, AM, AL, AXL

ADD TOTAL OF ALL ITEMS $_____________

Make All Checks/Money Orders Payable to: Berea Youth Soccer Club

P.O. Box 971

Berea, OH 44017

Questions? Please Contact Melanie Edwards at: 440-227-6780 or e-mail: melanie.edwards@bereayouthsoccerclub.org