2026- 2027 BENNINGTON FALL SPORTS ORDER FORM - DUE BY 08/22/26

Expires: August 22, 2026

Athlete's First Name

Athlete's Last Name

Jersey number if applicable

Parent's Name

Parent's Home Address

Parent's Phone

Parent's Email

I agree to IMMEDIATELY pay the amount due via VENMO to @Kim-Therkildsen including shipping charges IF APPLICABLE

Please pay by via VENMO to @Kim-Therkildsen (last 4 phone digits are 1811)

*VERY IMPORTANT

Venmo's MUST INCLUDE:

NOTE: ORDERS WITHOUT IMMEDIATE PAYMENT WILL NOT BE PROCESSED. Thank you for your understanding!

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2026 - 2027 BHS FALL Sports Order Form

Thank you for your order!

**Reminder - orders without payment will not be processed. Thank you for your understanding!

PLEASE SUBMIT PAYMENT NOW!

VENMO to @Kim-Therkildsen Last 4 phone digits are 1811

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