Name __________________________________________________________

Phone Number ___________________________________________________

Daughter/HR_____________________________________________________

Winning Student/School ____Sarah Kobylak/Notre Dame Academy_________

Sizes

ADULT    ($16.95)                YOUTH    ($13.95)   

_____ SMALL                              _____SMALL

_____ MEDIUM                              _____ MEDIUM

_____ LARGE                              _____ LARGE

_____ X-LARGE                              _____ X-LARGE

_____ 2X-LARGE


PAYMENT (CHECK Made Out to NDA or EXACT CASH ONLY PLEASE)

____________ CASH             _____________ CHECK