Sports Retail Customer Declaration Form
Please complete this declaration to confirm your understanding of our sports retail policies and provide your essential details.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Store Location Visited
*
Please Select
Downtown
Mall Branch
Suburban Plaza
Other
Date of Visit
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Items Purchased
Declaration Statement
*
I confirm that I have read and understood the sports retail store policies and agree to use all purchased items as intended.
*
I Agree
Signature
*
Submit Declaration
Submit Declaration
Should be Empty: