Jersey Request Form

Choose Your Tier*

Store or Field Referral Information

Store or Field Name*

Contact Information

Name

First Last

Phone*

Email*

Contact Birth Date*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Team Shipping Information

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Team Information

Which Brand would you like as your main Sponsor

Team Name*

Team Captain*

Team Member*

Team Member

Team Division*

Team Bio

What events are you participating in this season?

Team Social Media Sites

Team Facebook

Team Instagram

Team YouTube

All gear purchased through your team sponsorship is for team use only. It is not for immediate re-sale.
If you are caught attempting to sell your team gear before the end of the season, your sponsorship will be terminated.

By submitting this application for Sponsorship, Team agrees to the following terms if its application is accepted: Team grants to Kore Outdoor and its affiliates, and will require each of its members to grant to Kore Outdoor, a non-exclusive, transferable, worldwide, royalty free, perpetual license and right to use the Team Materials (defined below) in any and all media now known or hereinafter devised, in any manner and for an unlimited number of appearances, and without requiring any approval of Team or any Team member, for, and/or in connection with, any use relating to Kore Outdoor’s business, including, without limitation, any presentation, publicity, advertisement, commercial or promotional or other use. “Team Materials” means the Team’s and its members’ names, likenesses, images, photographs, voices, video, internet images, audio, motion picture or television rights, quotations, biographical information, statistics and results and other attributes of its and their personality. Team will and will cause its members to conduct themselves in a professional manner and do nothing to injure or bring into disrepute Kore Outdoor’s name and good will or favorable image. Kore Outdoor may terminate your sponsorship if the Team violates this clause.

Date*

Signature (type name)*

By typing or electronically signing my name and date below, I am representing that the information submitted on this application is accurate and that my electronic execution shall have the same force and effect as a manual signature.

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Phone

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