Infinity Charter School

No shortcuts. No limits

2012-13: Uniform Request Form

Date Student Name Grade/Class College In the boxes below, please indicate the number of each item you would like to purchase. Sizes Pric e 5th Grade Brown T-Shirt 6th Grade Navy Polo Shirt th 7 Grade Light Blue Polo Shirt th 8 Grade Black Polo Shirt KIPP Infinity Black Sweatshirt $7 $10 $10 $10 $15 Yout Adult Adult Adult h XSma Mediu Small Large ll m Adult Large Adult XLar ge Adult 2XL

Please return the completed form in the enclosed envelope with your payment (cash, check, or money order) to either Ms. Ceron or Mr. Croncota. Thank you.

KIPP Infinity Charter School 625 West 133rd Street, 3rd Floor, New York, NY 10027 Founding Principal: Allison Willis Holley Phone: 212-991-2600 Fax: 212-234-8396

Infinity Charter School

No shortcuts. No limits

2012-13: Formulario de Solicitud Uniforme

Fecha Nombre del Estudiante Grado/Clase Colegio En los cuadros a continuacin, por favor indique el nmero de cada artculo que desea comprar. Tamaos Pric e 5th Grade Brown T-Shirt 6th Grade Navy Polo Shirt 7th Grade Light Blue Polo Shirt 8th Grade Black Polo Shirt KIPP Infinity Black Sweatshirt $7 $10 $10 $10 $15 Youth Large Adult XSm all Adult Adult Mediu Small m Adult Large Adult XLar ge Adult 2XL

Por favor devuelva el formulario completo en el sobre adjunto con su pago (efectivo, cheque o giro postal) a la Srta. Ceron o Croncota seor. Gracias.

KIPP Infinity Charter School 625 West 133rd Street, 3rd Floor, New York, NY 10027 Founding Principal: Allison Willis Holley Phone: 212-991-2600 Fax: 212-234-8396