Main Packet Form
First Name
Middle Name
Last Name
Date of Birth
Social Security Number
-
-
Height (ft)
Height (in)
Weight (lbs)
Sex
Male
Female
Eye Color
Brown
Blue
Green
Hazel
Gray
Black
Hair Color
Black
Brown
Blonde
Red
Gray
Bald
White
Race
White
Black or African American
Alaskan or American Indian
Asian or Pacific Islander
Ethnicity
Hispanic or Latino
Not Hispanic or Latino
Unknown
Birthplace - City
State
County
Country
Father's Last Name
Mother's Maiden Name
Residential Address
City
State
ZIP
County
Mailing Address
City
State
ZIP
County
Home Phone
Cell Phone
Email Address
Teen Contract Information (TDLR Required)
Month or Section Desired:
Student Full Name:
Date of Birth:
Student Email:
Driver’s License (optional):
Street Address:
Student Phone:
Parent Phone: