Apply to 4th and 1 – East Texas

We are now accepting applications for the East Texas camp, which be held from July 9-13, 2012. To Apply please fill out the form below:

Your First Name (required)

Your Middle Name

Your Last Name

Address

City

State

Zip

Home Phone Number

Cell Phone Number

Age

Date of Birth

Height

Weight

Mother's Name

Father's Name

Which Parent Do You Live With?
Mother Father Both 

Daytime Phone

Your Email (required)

Parent(s) Email (required)

High School Attending in Fall 2012

Grade in Fall 2012

GPA as of Spring 2012

Name of High School Counselor

Name of Football Coach

What Size t-shirt Do You Wear?
Small Medium Large XL XXL XXXL 

What Size Shorts Do You Wear?
Small Medium Large XL XXL XXXL 

Preferred Offensive Position
 QB RB TE WR OL

Preferred Defensive Position
 DB LB DL

Did You Attend 4th and 1 Football Camp in 2011?
Yes No 

Essay 1: How will 4th and 1 help you achieve your goal of attending college?

Essay 2: Describe a challenging situation that you encountered and how you responded to that situation

Essay 3: If you attended the 4th and 1 Football Camp in 2011, please describe how one of the life skills workshops influenced your life

Essay 4: If you attended 4th and 1 Football Camp in 2011, why do you want to return?

Check all that apply
 Caucasian African-American Asian Latino Native American Child of Single-Parent Household First-Generation College Attendee

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