Replacement Jersey Order Form

MPB JERSEY REPLACEMENT

If you ordered the wrong size in registration, we can sometimes (but not always) help but we need to be contacted first and then payment must be made for those replacements. Our shirts, with logo, name and number costs $55 for replacement to be made and shipped to us.
PLAYER & Team Information
PLAYER Name*

First NameLast Name
Division*
Team*
Team Player is on Now
Managers Name*

Coach FirstCoach Last

Please make sure to order the right size. Compare measurements to a shirt your child fits in well and add an inch because it's probably not completely spread out while measuring, and order based on the chart.

SIZE	CHEST	LENGTH
Youth X-small	27"	20"
Youth Small	30"	22 3/8"
Youth Medium	33"	24 1/8"
Youth Large	36"	26 1/4"
Youth X-Large	39"	27 1/2"
Adult Small	39"	30 1/2"
Adult Medium	43"	31 1/4"
Adult Large	47"	32"
Adult X-Large	51"	32 3/4"
Adult 2XL	55"	33 1/2"
Adult 3XL	59"	34 1/4"

Shirt Size*
All options are adult sizes
Uniform #'s will be decided by our Uniforms Director.

DO NOT REPEAT SELECTIONS. If your selection is the same as that of another player, and all three of your selections are the same, we will have to pick for you. Select a 1st-choice, a DIFFERENT 2nd-choice, and a DIFFERENT 3rd-choice.
Jersey # - 1st Choice*
Jersey # - 2nd Choice*
Jersey # - 3rd Choice*
PREFERRED NAME (name for back of shirt) - Names must be actual first or last name used. Variations like 'Nick' for 'Nicolas', 'JT' for 'John Thomas' are okay, but no unrelated nicknames please.
Preferred Name*
YOUR Information

(to receive confirmation email)
YOUR Name*

First NameLast Name
YOUR Phone #*
YOUR Email*
example@example.com

Jersey

$55.00

Total

$0.00

Credit Card

PLEASE MAKE SURE ALL INFORMATION IS CORRECT. If a mistake is made by us or the manufacturer we will take care of it, but we cannot give refunds or make exchanges due to incorrect information given by you.
I Understand and Agree to the Above Statement*

YES
Signature*
Should be Empty:

MPB JERSEY REPLACEMENT

PLAYER & Team Information

YOUR Information

Credit Card