Ithaca Sports Photography Order Form
BrocKreative | 989.272.8775 | brockreative@gmail.com
Athlete Contact Information
School
*
Ithaca High School
Ithaca Jr. High School
Ithaca Elementary
Other
If other, list school
Ex: St. John's Varsity Baseball
Team Level
*
Varsity
Junior Varsity
Freshmen
8th Grade
7th Grade
6th Grade
5th Grade
4th Grade
3rd Grade
2nd Grade
1st Grade
Kindergarten/PK
If other, list details
Sport/Club
*
Band
Boys Basketball
Girls Basketball
Baseball
Boys Bowling
Girls Bowling
Cheer
Boys Cross Country
Girls Cross Country
Dance
Football
Boys Golf
Girls Golf
Hockey
Poms
Powerlifting
Boys Soccer
Girls Soccer
Softball
Swimming
Tennis
Boys Track
Girls Track
Volleyball
Wrestling
Coach Name
*
Jersey/Uniform Color
*
Blue
Gold
White
Black
Other
Athlete/Student Name
*
First Name
Last Name
Athlete/Student Age
*
Jersey #
*
Enter "NA" if no number
Height
*
Ex: 5' 5"
Parent/Guardian Name
*
First Name
Last Name
Are YOU the Parent or Legal Guardian of this athlete?
*
Yes
No
If not, do you have express permission from the Parent or Legal Guardian to place an order?
Yes, I have express permission from the Parent/Legal Guardian
No, I do not have permission
Contact Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Mailing Address (Orders are delivered to the school/team for distribution unless otherwise specified)
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Order Details
Packages are for single athletes only, not sibling or buddy photos. All sibling/buddy photos MUST be ordered a la carte.
Order Type
*
Pre-Pay Order (placed ON or BEFORE photo day)
Late Order (placed AFTER photo day)
My Order
*
Categories:
All
All
Packages
A La Carte
prev
next
( X )
Packages
Package A
$50.00
$
50.00
1- Memory Mate 1- 8x10 Team 1- 8x10 Ind 2- 5x7 Ind 4- 4x5 Ind 16 Wallets
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$0.00
$
0.00
Package B
$40.00
$
40.00
1- Memory Mate 1- 8x10 Ind 1- 5x7 Team 2- 5x7 Ind 2- 4x5 Ind 12 Wallets
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$0.00
$
0.00
Package C
$35.00
$
35.00
1- Memory Mate 1- 5x7 Team 2- 5x7 Ind 2- 4x5 Ind 8 Wallets
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$0.00
$
0.00
Package D
$30.00
$
30.00
1- Memory Mate 2- 5x7 Ind 2- 4x5 Ind 8 Wallets
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$0.00
$
0.00
Package E
$25.00
$
25.00
1- 5x7 Team 1- 5x7 Ind 4 Wallets
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$0.00
$
0.00
A La Carte
8x10 Individual Photo
$12.00
$
12.00
Quantity
1
2
3
4
5
6
7
8
9
10
8x10 Team Photo
$12.00
$
12.00
Quantity
1
2
3
4
5
6
7
8
9
10
8x10 Buddy Photo
$12.00
$
12.00
BUDDY photos MUST be taken TOGETHER on photo day. Include athlete names & numbers in notes section at the bottom of the form
Quantity
1
2
3
4
5
6
7
8
9
10
5x7 Individual Photo
$10.00
$
10.00
Quantity
1
2
3
4
5
6
7
8
9
10
5x7 Team Photo
$10.00
$
10.00
Quantity
1
2
3
4
5
6
7
8
9
10
5x7 Buddy Photo
$10.00
$
10.00
BUDDY photos MUST be taken TOGETHER on photo day. Include athlete names & numbers in notes section at the bottom of the form
Quantity
1
2
3
4
5
6
7
8
9
10
4x5 Individuals (2)
$8.00
$
8.00
Quantity
1
2
3
4
5
6
7
8
9
10
Wallets (4)
$8.00
$
8.00
Quantity
1
2
3
4
5
6
7
8
9
10
Memory Mate
$18.00
$
18.00
Quantity
1
2
3
4
5
6
7
8
9
10
Trading Cards
$16.00
$
16.00
Quantity
1
2
3
4
5
6
7
8
9
10
Photo Button
$6.00
$
6.00
Quantity
1
2
3
4
5
6
7
8
9
10
Photo Magnet
$6.00
$
6.00
Quantity
1
2
3
4
5
6
7
8
9
10
Metal Bag Tag
$12.00
$
12.00
Quantity
1
2
3
4
5
6
7
8
9
10
Metal Keychain
$12.00
$
12.00
Quantity
1
2
3
4
5
6
7
8
9
10
Metal Dog Tag Necklace
$15.00
$
15.00
Quantity
1
2
3
4
5
6
7
8
9
10
7" Window Cling
$12.00
$
12.00
Quantity
1
2
3
4
5
6
7
8
9
10
16 oz Thermal Mug
$25.00
$
25.00
Quantity
1
2
3
4
5
6
7
8
9
10
16 oz Tumbler Cup
$25.00
$
25.00
Quantity
1
2
3
4
5
6
7
8
9
10
15 oz Plastic Water Bottle
$20.00
$
20.00
Quantity
1
2
3
4
5
6
7
8
9
10
5x7 Player Statuette
$30.00
$
30.00
Quantity
1
2
3
4
5
6
7
8
9
10
8x10 Player Statuette
$40.00
$
40.00
Quantity
1
2
3
4
5
6
7
8
9
10
16"x20" Vinyl Mini Banner
$32.00
$
32.00
Mini banner version of individual photo. Please allow additional time for delivery
Quantity
1
2
3
4
5
6
7
8
9
10
2'x3' Senior Banner
$42.00
$
42.00
Custom banner to be hung at school field/gym. Please allow additional time for delivery
Quantity
1
2
3
4
5
6
7
8
9
10
Enter coupon
Apply
Subtotal
$0.00
$
0.00
Tax
$0.00
$
0.00
Total
$0.00
$
0.00
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
Cash App Pay
After submitting the form, you will be redirected to Cash App Pay to complete the payment.
ACH Bank Transfer
PLEASE ALLOW UP TO 14 BUSINESS DAYS FOR LATE ORDER SHIPPING.
Did you order a BUDDY item?
*
Yes
No
BUDDY PHOTO INFORMATION
List NAMES of athletes included in photo, JERSEY # and TEAM
ADDITIONAL HELPFUL INFORMATION
Submit
Should be Empty: