All-State Team Patches
(for swimming, diving, and water polo)

All State Team Patches are available for $10.00 each
(Postage and handling included)

Please print this page and fill it out and mail it to:

All State Patch Order Form

Name ___________________________________________________

School ______________________________________________________

Address _________________________________________________




email ___________________________________________________ Phone Number _________________________________  


Class  (circle one)  5A            4A          Private Schools

Number of patches ordered @ $10.00 each   


Event Qualified  (circle event(s))




200 Yard Medley Relay

100 Yard Freestyle




200 Yard Freestyle

500 Yard Freestyle

Total amount enclosed



200 Yard Individual Medley

200 Yard Freestyle Relay




50 Yard Freestyle

100 Yard Backstroke




One Meter Diving

100 Yard Breaststroke




100 Yard Butterfly

400 Yard Freestyle Relay





Water Polo




Terri Morse
1504 Park Street
Pecos, TX 79772

Make Checks payable to: TISCA

Class 4A, 5A and Private School TISCA All State Patches