Parent/Player Request Form

Instructions: Fill out the following form to make a video request of one of the Grassfield Football players. The video will be delivered to the student at school.
Parent's Name:
Parent's Email Address:
Jersey #:
Player's Name:
Highlight Type: $60 Midseason (First Half) $60 Second Half (added to Midseason) $120 Full Season
Number of Discs: 10 (included in price above) 20 (add $20) 30 (add $40)