Pick Up Request Inventory

Hockey clean Equipment inventory form

More Than 1 Set of Gear?

For each set please click here to complete a form for each bag.

Another Bag? Click Here

Equipment Inventory Form

Step 1 of 5

20%

Player Info

Name

First Last

Player Number (if applicable)

Pick Up Date

MM slash DD slash YYYY

Gear Type(Required)

Player

Goalie

Equipment

Hockey Bag Brand

Hockey Bag Primary Colour

The hockey bag is...

Soft Carry Bag

Wheeled Bag

Hockey Bag Other Brand

Do your hockey bag need repairs?

Not Applicable

Yes

Repair

Please Describe The Repair	Actions

There are no Repairs.

Maximum number of repairs reached.

Repairs are performed at $35/HR. Most run between $5-$15 depending on what is needed.

____________________________________________________________________________________

Elbow Pads Brand

Elbow Pads Primary Colour

Elbow Pads Other Brand

Do your elbow pads need repairs?

Not Applicable

Yes

Repair

Please Describe The Repair	Actions

There are no Repairs.

Maximum number of repairs reached.

Repairs are performed at $35/HR. Most run between $5-$15 depending on what is needed.

____________________________________________________________________________________

Helmet Brand(Required)

Helmet Colour(Required)

Goalie Mask Brand(Required)

Goalie Mask Primary Colour(Required)

Goalie Mask Other Brand

Does your helmet need repairs?

Not Applicable

Yes

Repair

Please Describe The Repair	Actions

There are no Repairs.

Maximum number of repairs reached.

Repairs are performed at $35/HR. Most run between $5-$15 depending on what is needed.

____________________________________________________________________________________

Shoulder Pads Brand

Shoulder Pads Primary Colour

Chest Protector Brand

Chest Protector Primary Colour

Shoulder Pads/Chest Protector Other Brand

Does your shoulder pads or chest protector need repairs?

Not Applicable

Yes

Repair

Please Describe The Repair	Actions

There are no Repairs.

Maximum number of repairs reached.

Repairs are performed at $35/HR. Most run between $5-$15 depending on what is needed.

Goalie Pants Brand

Goalie Pants Primary Colour

Goalie Pants Other Brand

Do your goalie pants need repairs?

Not Applicable

Yes

Repair

Please Describe The Repair	Actions

There are no Repairs.

Maximum number of repairs reached.

Repairs are performed at $35/HR. Most run between $5-$15 depending on what is needed.

____________________________________________________________________________________

Athletic Support Brand

Athletic Support Primary Colour

Does your Athletic Support need repairs?

Not Applicable

Yes

Repair

Please Describe The Repair	Actions

There are no Repairs.

Maximum number of repairs reached.

Repairs are performed at $35/HR. Most run between $5-$15 depending on what is needed.

____________________________________________________________________________________

Hockey Gloves Brand

Hockey Gloves Primary Colour

Goalie Catcher Brand

Goalie Catcher Primary Colour

Goalie Blocker Brand

Goalie Blocker Primary Colour

Do your hockey gloves need repairs?

Not Applicable

Yes

Do your blocker or catcher need repairs?

Not Applicable

Yes

Repair

Please Describe The Repair	Actions

There are no Repairs.

Maximum number of repairs reached.

Repairs are performed at $35/HR. Most run between $5-$15 depending on what is needed.

____________________________________________________________________________________

Shin Pads Brand

Shin Pads Primary Colour

Goalie Pads Brand

Goalie Pads Primary Colour

Do your goalie pads need repairs?

Not Applicable

Yes

Do your shin pads need repairs?

Not Applicable

Yes

Repair

Please Describe The Repair	Actions

There are no Repairs.

Maximum number of repairs reached.

Repairs are performed at $35/HR. Most run between $5-$15 depending on what is needed.

____________________________________________________________________________________

Hockey Pants Brand

Hockey Pants Primary Colour

Do your hockey pants need repaired?

Not Applicable

Yes

Repair

Please Describe The Repair	Actions

There are no Repairs.

Maximum number of repairs reached.

Repairs are performed at $35/HR. Most run between $5-$15 depending on what is needed.

____________________________________________________________________________________

Goalie Knee Pads Brand

Goalie Knee Pads Primary Colour

Do your knee pads need repairs?

Not Applicable

Yes

Repair

Please Describe The Repair	Actions

There are no Repairs.

Maximum number of repairs reached.

Repairs are performed at $35/HR. Most run between $5-$15 depending on what is needed.

____________________________________________________________________________________

Skates Brand

Please Sharpen My Skates

Yes

Skate Sharpen Hollow(Required)

1/2" (standard)

7/16" (more bite)

3/8" (hard edge)

9/16" (less of a bite)

5/8" (less bite, more glide)

3/4" (bite for goalie skates)

7/8" (common goalie edge)

1" (lowest bite, most goalies)

Do your skates need repairs?

Not Applicable

Yes

Repair

Please Describe The Repair	Actions

There are no Repairs.

Maximum number of repairs reached.

Repairs are performed at $35/HR. Most run between $5-$15 depending on what is needed.

____________________________________________________________________________________

Additional Gear Click Here

Equipment Type	Brand	Primary Colour	Actions

There are no Pieces.

Maximum number of pieces reached.

If you have more than one set of equipment of a specific piece, please enter it here.

Does any additional equipment need repairs?

Not Applicable

Yes

Please list in the corresponding text box.

Repair

Please Describe The Repair	Actions

There are no Repairs.

Maximum number of repairs reached.

Repairs are performed at $35/HR. Most run between $5-$15 depending on what is needed.

Garments/Clothing

Number of Jerseys

Post up to 4 here, click Additional Jersey if you have more.

#1 Jersey Colour

#2 Jersey Colour

#3 Jersey Colour

#4 Jersey Colour

Additional Jersey

Additional Jersey Colour	Actions

There are no Jersey's.

Maximum number of jersey's reached.

Click the plus for each additional jersey on top of the provided 4.

____________________________________________________________________________________

Pairs of Socks

Up to 4 pair can be posted here, click Additional Socks if you have more.

1st Pair of Socks Colour

2nd Pair of Socks Colour

3rd Pair of Socks Colour

4th Pair of Socks Colour

Additional Socks

Additional Socks Colour	Actions

There are no Socks.

Maximum number of socks reached.

Click the plus for each additional pairs of socks on top of the provided 4.

____________________________________________________________________________________

Additional Clothing Items

Additional Clothing Item	Additional Clothing Item Colour	Actions

There are no Articles.

Maximum number of articles reached.

Additional Gear/Equipment Unrelated

This is for you to list any additional items you are sending in for processing not listed. Please itemize them one line per item based on brand, colour and item type. i.e. Water bottle - Green - SportChek 2 x Black Tape 1 x White Tape

Consent

I agree to the service/cleaning process and policy.

I have provided, to the best of my knowledge, what we are sending in to be processed. I further understand that this is vigorous cleaning and that older aged equipment may sustain marking or other imperfections aesthetically, however, that the integrity of the equipment will remain in tact. If repairs are required I further acknowledge that I will be contacted and will direct Hockey Clean how to proceed based on costs versus calculated replacement cost. In providing this consent I agree to the pick up and return of my equipment and that any additional repairs will be an additional cost to the service offering.

Name

This field is for validation purposes and should be left unchanged.

Hockey clean Equipment inventory form

More Than 1 Set of Gear?

Equipment Inventory Form

Player Info

Equipment

Garments/Clothing

Repair Section

Repair Section

Repair Section

Repair Section

Repair Section

Repair Section

Repair Section

Repair Section

Repair Section

Repair Section

Repair Section

Additional Equipment

Repair Section

Additional Laundry/Clothing Items