Customer Submitted Image
Info/Order Page
Player's First Name: (Exactly How It Will Be On Banner)
Player's Last Name (Exactly How It Will Be On Banner)
Parent's First/Last Name On Credit Card (Used To Match Player With Parent Payment Info From Bank)
Email Address:
Home Phone Number
Player's Mobile Number (Only Used If Missing Info)
Parent's Mobile Number (Only Used If Missing Info)
School OR Club
Grade
Player Gender
Sport or Activity
Primary Player Position
Your Primary Position Not Listed Above? - Please Enter It Here.
Secondary Playing Position
Your Secondary Position Not Listed Above? - Please Enter It Here.
Special Designation (Captain, Squad Leader, etc...)
Jersey Number
Please list submitted image numbers. If someone else is sending the images and you do not know this info, please leave this blank.
NO HANG OPTION. If you do NOT wish your banner to be displayed at your school or venue, please check the box to the right.
NO ADVERTISING. If you do NOT want your banner image possibly used for our promotional advertising, please check the box to the right.
Comments
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Please note: We currently DO NOT create banners for individuals unless we already work with your school or club. This page is set
up ONLY FOR THOSE CUSTOMERS WE REFER HERE. If you WERE NOT referred here by us, please DO NOT order, submit images/info
for, or pay for your banner online below UNLESS you email us prior to doing so.

If you were referred here, please submit your info below and then email your images to banners@yourkidsinaction.com. Please limit
your images to 2 per email to prevent rejection due to email size limitations.