Texas vs The Nation

Please complete and submit the registration form below or you may print and mail the completed form to: Texas vs. the Nation, 4455 LBJ Freeway, Suite 901, Dallas, Texas 75244. You may also fax your completed form to 972-934-9102

Required fields denoted with an asterisk (*)

Legal Name* (as it appears on your driver's license)

School*

Hometown*

PERSONAL INFORMATION
Home Address (Parents)
Street Address*
City*	State*	Zip*
Phone*
Mobile Phone*
E-mail Address*
Mother's Name*
Father's Name*
Parent's Address (if different from above): Father's Address          Mother's Address
Street Address
City	State	Zip

Married?*

Yes          No

If yes, wife's name

School Address
Street Address*
City*	State*	Zip*
Phone*

Please indicate best address to send correspondence*

Home          School

FOOTBALL INFORMATION
Height*		Weight*		Jersey Size*		Game Pant Size*		Polo Shirt Size*
Jersey #*		Alternate Jersey #*		Travel Sweats* L          XL          2XL          3XL

POSITION INFORMATION
Please list your preferred college position (be specific)*	College Position Coach*
Please list any additional positions in the NFL you may be considering

Please check any specialties: Punt Punt Return Kickoff Kickoff Return PAT's Field Goal Holder for PAT/FG Long snap (punts) Long snap (PAT/FG)

AGENT INFORMATION
Name
Street Address
City	State	Zip
Mobile Phone
E-mail Address

SCHOOL SID INFORMATION
SID Name
Street Address*
City*	State*	Zip*
Phone*
E-mail Address*

TRAVEL INFORMATION

IMPORTANT: This information will be used to make your travel arrangements to El Paso .You will be traveling with an electronic round trip ticket that is NON-REFUNDABLE and CANNOT be changed. For this reason, if you are working with an agent, please call them to confirm what your departure city will be when you fly into El Paso and what city you will return to.

By checking this box, I understand that all travel arrangements are final and any changes or fees incurred by future changes to my travel arrangements will be the sole responsibility of myself or my agent.*

This information must be returned promptly.

E-mail address to send completed air itinerary*

What CITY do you want to fly from*

What CITY do you want to fly to after the game*

(Use this line to indicate if your return destination differs from your departure i.e. if you will be attending training, returning home, going to school etc.)

Check here if you will be driving to El Paso

BY CHECKING THIS BOX, I AM PLEASED TO ACCEPT YOUR INVITATION TO PLAY IN THE 2ND ANNUAL TEXAS VS. NATION GAME. PLEASE HOLD A SPOT FOR ME.*