STUDENT'S NAME ________________________________________________________

STUDENT'S CELL PHONE NUMBER _________________________________________  CAN ACCEPT TXT MSGS?  Y    N

STUDENT'S EMAIL ADDRESS (ESSENTIAL) ___________________________________________________

FIGHTIN' TEXAS AGGIE CLASS OF 20____

                                                              ********************

PARENT'S NAME ___________________________________________________________

PARENT'S ADDRESS _______________________________________________

CITY, ZIPCODE ___________________________________________________

PARENT'S HOME PHONE _______________________________________

PARENT'S CELL PHONE NUMBER _________________________________

PARENT'S EMAIL ADDRESS ___________________________________________

PLEASE MAIL COMPLETED FORM AND CHECK FOR $15.00 MADE OUT TO:

              LINTON CHECKA
              1818 CEDAR ELM DRIVE WEST
              ARLINGTON, TX  76012

QUESTIONS? PLEASE CALL : 817.861.5627