Jessica's Army Order Form

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“Jessica’s Army” Purple Out Bonner Springs High School & Basehor-Linwood High School Bonner Springs High School & Basehor-Linwood High School are teaming up to raise awareness and funds to directly help Jessica Masoner, a local teen diagnosed with Lafora disease. Lafora is a serious and deadly form of epilepsy. Jessica’s family has been struggling to receive funding for a handicap accessible van to transport her to and from many doctors’ appointments. The purchase of a t-shirt will go towards the $6000 cost of getting Jessica the van her family desperately needs. The “purple out” in honor of Jessica will take place on Tuesday, December 17th during the BSHS vs. Basehor Linwood basketball game.

Please support this cause by purchasing a “Jessica’s Army” t-shirt!

Please detach the order form below and please make checks payable to Bonner Springs High School. (BSHS will order the T-shirts) The cost is $8 per shirt. Please turn order forms and money into the Basehor-Linwood front office.

Youth Sizes: YS (6-8) YM (10-12) YL (14-16) YXL (18-20) Adult Sizes: AS, AM, AL, AXL, AXXL, AXXXL (Add $2 per order on 2X, 3X, & 4X) **Wear your shirt on Tuesday, December 17th to school and the basketball game! SCHOOL:__________________________

PHONE:_______________________

YOUR NAME:_______________________________ Name

Quantity

Child Size

GRADE/TEACHER______________ Adult Size

Total

**Order forms and payment are due on Friday, Dec. 6th by 3pm!


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