Order Date
MM slash DD slash YYYY
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Customer Code
Sport:* Hockey Skater Hockey Goalie (UNAVAILABLE AT THIS TIME) Baseball/Softball/T-Ball Soccer Lacrosse (UNAVAILABLE AT THIS TIME) Rollerblades Basketball Baseball/Softball Catcher (UNAVAILABLE AT THIS TIME) Football (UNAVAILABLE AT THIS TIME) Toys/Youth Sets
Please select the sport for the equipment you are requesting.
Beneficiarie's Name:*
First
Last
(Your name or Child's name- as long as they are under 18)
Beneficiarie's Birthdate:*
MM slash DD slash YYYY
Child’s Age:*
Child's Gender* Female Male
Status:* Family of KIA Combat Wounded Currently Deployed Currently Serving Veteran
To select more than one option, hold Ctrl and select all appropriate responses.
Parent/Guardian Name:*
First
Last
Parent/Guardian Civilian Email :*
Address:*
Parent/Guardian Phone:*
Parent Service Member’s Name:*
Military Branch:*
Military Rank:* E1 E2 E3 E4 E5 E6 E7 E8 E9 WO1 WO2 WO3 WO4 WO5 O1 O2 O3 O4 O5 O6 O7
Proof of Service* DD214 or current Military ID.
Please remove or cover any sensitive information.
Canadian Forces Rank Priority: N/A Junior Enlisted Senior Enlisted Junior Officer Senior Officer
Unit POC Name (Veterans put N/A):*
Hockey Skater Helmet/Cage Combo:* Unavailable At This Time
Mouth Guard:* Not Needed Jr (10 and under) Sr (over 10)
Neck Protector:* Not Needed Youth Junior Senior
Shoulder Pads:* Not needed Youth - Small Youth - Medium Youth - Large Junior - Small Junior - Medium Junior - Large Senior - Small Senior - Medium Senior - Large Senior – Xlarge
Elbow Pads:* Not Needed Youth - Small Youth - Medium Youth - Large Junior - Small Junior - Medium Junior - Large Senior - Small Senior - Medium Senior - Large Senior - Xlarge
Gloves:* Not Needed 8" 9" 10" 11" 12" 13" 14" 15"
Pants (Breezers):* Not Needed Youth - Small Youth - Medium Youth - Large Junior - Small Junior - Medium Junior - Large Senior - Small Senior - Medium Senior - Large Senior - XLarge Senior - XXLarge
Groin Protection (shorts) - Jock/Jill:* Not Needed Youth - Small Youth - Medium Youth - Large Junior - Small Junior - Medium Junior - Large Senior - Small Senior - Medium Senior - Large Senior - XLarge
Shin Guards:* Not Needed 8" 9" 10" 11" 12" 13" 14" 15" 16" 17"
Skate Size:* Not Needed Youth - 8 Youth - 9 Youth - 10 Youth - 10.5 Youth - 11 Youth - 11.5 Youth - 12 Youth - 12.5 Youth - 13 Youth - 13.5 Junior - 1 Junior - 1.5 Junior - 2 Junior - 2.5 Junior - 3 Junior - 3.5 Junior - 4 Junior - 4.5 Junior - 5 Junior - 5.5 Senior - 6 Senior - 6.5 Senior - 7 Senior - 7.5 Senior - 8 Senior - 8.5 Senior - 9 Senior - 9.5 Senior - 10 Senior - 10.5 Senior - 11 Senior - 11.5 Senior - 12 Senior - 12.5 Senior - 13 Senior - 13.5 Senior - 14 Senior - 15
Bauer Skate Blades/Steel Not Needed Size 6 254 MM Size 7 263 MM Size 9 280 MM Size 10 288 MM Size 11 296 MM Size 12 306 MM
Practice Jersey Size: Not needed Youth Small Youth Medium Youth Large Youth X Large Adult Small Adult Medium Adult Large Adult XLarge Adult XXLarge
Bauer Apparel Tops & Bottoms (youth) If you'd like to request free Bauer apparel with your order please fill out this form in addition to the equipment form.
Choose an option Youth XS Youth small Youth medium Youth large Youth XL
Bauer Apparel Tops & Bottoms (women's) If you'd like to request free Bauer apparel with your order please fill out this form in addition to the equipment form.
Choose an option Women's XS Women's small Women's medium Women's large Women's XL
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Goalie Mask:* Not Needed Youth Junior Senior
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Mouth Guard:* Not Needed Jr (10 and under) Sr (over 10)
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Goalie Blocker:* Not Needed Youth Junior Intermediate Senior
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Goalie Glove Hand (hand you catch with):* Not Needed Youth Right Hand Youth Left Hand Junior Right Hand Junior Left Hand Intermediate Right Hand Intermediate Left Hand Senior Right Hand Senior Left Hand
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Goalie Chest:* Not Needed Youth Small Youth Medium Youth Large Youth XLarge Junior Small Junior Medium Junior Large Junior XLarge Intermediate Small Intermediate Medium Intermediate Large Intermediate XLarge Senior Small Senior Medium Senior Large Senior XLarge
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Goalie Pants:* Not Needed Youth Small Youth Medium Youth Large Youth XLarge Junior Small Junior Medium Junior Large Junior XLarge Intermediate Small Intermediate Medium Intermediate Large Intermediate XLarge Senior Small Senior Medium Senior Large Senior XLarge
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Goalie Pads:* Not Needed Youth 20" Youth 21" Youth 22" Youth 23" Youth 24" Youth 25" Junior 26" Junior 27" Junior 28" Junior 29" Junior 30" Junior 31" Senior 32" Senior 33" Senior 34" Senior 35" Senior 36"
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Goalie Jock:* Not Needed Kids Adult
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Goalie Skate Size:* Not Needed Youth - 8 Youth - 9 Youth - 10 Youth - 10.5 Youth - 11 Youth - 11.5 Youth - 12 Youth - 12.5 Youth - 13 Youth - 13.5 Junior - 1 Junior - 1.5 Junior - 2 Junior - 2.5 Junior - 3 Junior - 3.5 Junior - 4 Junior - 4.5 Junior - 5 Junior - 5.5 Senior - 6 Senior - 6.5 Senior - 7 Senior - 7.5 Senior - 8 Senor - 8.5 Senior - 9 Senior - 9.5 Senior - 10 Senior - 10.5 Senior - 11 Senior - 11.5 Senior - 12 Senior - 12.5 Senior - 13 Senior - 13.5 Senior - 14
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Practice Jersey Size: Not needed Youth Small Youth Medium Youth Large Youth X Large Adult Small Adult Medium Adult Large Adult XLarge Adult XXLarge Adult Goalie Cut
Baseball/T-ball/Softball:* Baseball T-ball Softball - fast pitch Softball - slow pitch
Please select one.
Glove Type:* Not needed First Base Infield Outfield Catcher
Baseball Glove Hand:* Not Needed Glove for Right Hand (left handed throwers) Glove for Left Hand (right handed throwers)
Glove Size:* Not needed Youth - 8" Youth - 9" Youth - 10" Junior - 11" Junior - 12" Junior - 13" Senior - 14" Senior - 15"
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Batting Gloves:* Not needed Youth Small Youth Medium Youth Large Adult Small Adult Medium Adult Large Adult XLarge
Bat Length:* Not Needed 25" 26" 27" 28" 29" 30" 31" 32" 33" 34"
Bat Description (weight, drop, material, etc.):*
Please describe the weight, drop, material, etc. of the bat you desire.
Helmet:* Not needed Kids Adult
Mouth Guard:* Not Needed Jr (10 and under) Sr (over 10)
Baseball Cleats:* Not Needed Youth - 12.5 Youth - 13 Youth - 13.5 Junior - 1 Junior - 1.5 Junior - 2 Junior - 2.5 Junior - 3 Junior - 3.5 Junior - 4 Junior - 4.5 Junior - 5 Junior - 5.5 Senior - 6 Senior - 6.5 Senior - 7 Senior - 7.5 Senior - 8 Senior - 8.5 Senior - 9 Senior - 9.5 Senior - 10 Senior - 10.5 Senior - 11 Senior - 11.5 Senior - 12 Senior - 12.5 Senior - 13 Senior - 13.5 Senior - 14 Senior - 14.5
Baseballs/Softballs* Not Needed 3 6 9
Rollerblades* Size 1 Size 2 Size 3 Size 4 Size 6 Size 7 Size 8 Size 9 Size 12
Note: Rollerblades fit like hockey skates. Go down 1 size for mens/kids and 2 for womens
Soccer Ball* Not Needed Size 3 Size 4 Size 5
Soccer Shin Guards* Not Needed Youth (12 & Under) Adult (Ages 13+)
Soccer Cleats* Not Needed Youth 10 Youth 11 Youth 12 Youth 13 Junior 1 Junior 1.5 Junior 2 Junior 2.5 Junior 3 Junior 3.5 Junior 4 Junior 4.5 Junior 5 Junior 5.5 Senior 6 Senior 6.5 Senior 7 Senior 7.5 Senior 8 Senior 8.5 Senior 9 Senior 9.5 Senior 10 Senior 10.5 Senior 11 Senior 11.5 Senior 12
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Lacrosse Helmets* Not Needed Small Medium Large
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Lacrosse Gloves* Not Needed Small Medium Large
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Lacrosse Shoulder Pads* Not Needed Small Medium Large
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Lacrosse Elbow Pads* Not Needed Small Medium Large
Basketball Size Mens Womens Kids
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Catchers Chestpad Small Medium Large Not Needed
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Catchers Shinguard Small Medium Large Not Needed
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Catchers Helmet Small Medium Large Not Needed
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Catchers Glove Not available at this time
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Football Shoulder Pads Not Needed X-Small Small Medium Large X-Large XX-Large
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Football Pants Not Needed X-Small Small Medium Large X-Large XX-Large
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Football Gloves Not Needed Youth Junior Senior
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Football Not Needed Youth Junior Senior
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Football Turf Shoe Not Needed Size 1 Size 1.5 Size 2 Size 2.5 Size 3 Size 3.5 Size 4 Size 4.5 Size 5 Size 5.5 Size 6 Size 6.5 Size 7 Size 7.5 Size 8 Size 8.5 Size 9 Size 9.5 Size 10 Size 10.5 Size 11 Size 11.5 Size 12 Size 12.5 Size 13 Size 14
Toys/Youth Sets Basketball 2 in 1 Youth Set Soccer Youth Training Set Soccer Youth Net Set Push-up Board Set
Comments:
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