Name of Student / Contact Name
Form / Contact Details
(Telephone/email)
Item / Circle size required / Quantity / Price
Girls' blazer * / 28'' / 30" / 32" / 34" / 36" / £30
(Green) / 38'' / 40'' / 42'' / 44'' / 46'' / £35
Boys' blazer * / 28'' / 30" / 32" / 34" / 36" / £30
(Green) / 38'' / 40" / 42'' / 44'' / 46'' / £35
Tie - girls & boys / £5
Girls' outdoor sports / 30-32'' / 34-36'' / £18
top (Black/Scarlet) / 38-40'' / 42-44'' / £22
Boys' outdoor sports / 30-32'' / 34-36'' / £18
top (Black/Amber) / 38-40'' / 42-44'' / 46-48'' / £22
PE polo shirt - / 9-10yrs / 11-12yrs / 13yrs / £9
girls&boys (White) / 38-40''S / 40-42''M / 42-44''L / 46-48XL / £11
Girls' fit PE top (White) / 28-30'' / 32-34'' / 36-38'' / 40-42'' / £12
Girls' PE skort (Black) / 8 / 10 / 12 / 14 / 16 / £12
Sports socks (Black) / 3-5.5 / 6-8.5 / 9-11.5 / £4
Shorts - girls & boys / 22/24'' / 26/28'' / 28/30'' / £5
(Black shadow stripe) / 30/32'' / 34/36'' / 38/40'' / £7
Jog pants - girls & boys / 9-10yrs / 11-12yrs / £8
(Black) / XS adult / S adult / M adult / £10
PE Hoodie - girls' / 9-11yrs / 12-13yrs / XS / £18
(Black/Scarlet hood) / S / M / L / XL / £20
PE Hoodie - boys' / 9-11yrs / 12-13yrs / XS / £18
(Black/Amber hood) / S / M / L / XL / £20
Total value of order / £
Signed / Date
* Other sizes available; please ask. Payment must be made when the order is placed. Order forms, together with payment in cash or by cheque made payable to SHIRLEY MK, should be put into an envelope marked for the attention of SHIRLEY MK and posted into the Finance Department post box at The Hazeley Academy. Thank you. Alternatively, please contact Theresa Shirley to place an order by telephone 01908 340589 or by email Other information may be found on the website
Date order received
Payment received (Cash/cheque)
Change due
Date order processed / Jun-17
15 Allington Circle, Kingsmead, Milton Keynes, MK4 4EE