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Personal Information
First Name: *
Last Name: *
Middle Name:
Email: *
Address: *
Preferred Name:
Date of Birth: *
City: *
Place of Birth:
State:
AL
AK
AR
AS
AZ
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
AB
AE
BC
DC
MB
NB
NL
NS
NT
NU
ON
PE
QC
SK
UN
YT
PR
VI
Phone: *
Country:
Mobile/Alt. Phone:
Zip:
Twitter:
Gender:
M
F
Facebook:
Hobbies:
Instagram:
Skype:
Parent/Guardian Contact Information
First Name: *
Last Name: *
Relationship: *
Father
Mother
Alternate
Step Mother
Neighbor
Uncle
Sister
Grandfather
Guardian
Aunt
Friend
Step Father
Brother
Grandmother
Coach
Other
Spouse
Parent
Girlfriend
Boyfriend
Child
Guidance Counselor
Wife
Cousin
Husband
Club Director
Step Sister
Step Brother
Athletic Director
Phone: *
Mobile Phone:
Email:
College Name:
Occupation:
Employer:
Work Phone:
Ext:
Parent/Guardian Contact Information
First Name:
Last Name:
Relationship:
Father
Mother
Alternate
Step Mother
Neighbor
Uncle
Sister
Grandfather
Guardian
Aunt
Friend
Step Father
Brother
Grandmother
Coach
Other
Spouse
Parent
Girlfriend
Boyfriend
Child
Guidance Counselor
Wife
Cousin
Husband
Club Director
Step Sister
Step Brother
Athletic Director
Phone:
Mobile Phone:
Email:
College Name:
Occupation:
Employer:
Work Phone:
Ext:
Athletic Information
Height: *
ft.
in.
Weight: *
Best Event Time:
:
:
Distance :
50
100
200
400/500
800/1000
1500/1650
400
500
800
1000
1500
1600
1650
Stroke :
Free
Back
Breast
Fly
IM
Course :
SCM
SCY
LCM
2nd Event Best Time:
:
:
Distance 2:
50
100
200
400/500
800/1000
400
500
800
1000
1500
1600
1650
1500/1650
Stroke 2:
Free
Back
Breast
Fly
IM
Course 2:
SCM
SCY
LCM
3rd Event Best Time:
:
:
Distance 3:
50
100
200
400/500
800/1000
1500/1650
400
500
800
1000
1500
1600
1650
Stroke 3:
Free
Back
Breast
Fly
IM
Course 3:
SCM
SCY
LCM
4th Event Time:
:
:
Distance 4:
50
100
200
400/500
800/1000
1500/1650
400
500
800
1000
1500
1600
1650
Stroke 4:
Free
Back
Breast
Fly
IM
Course 4:
SCM
SCY
LCM
5th Event Time:
:
:
Distance 5:
50
100
200
400/500
800/1000
1500/1650
400
500
800
1000
1500
1600
1650
Stroke 5:
Free
Back
Breast
Fly
IM
Course 5:
SCM
SCY
LCM
Dives working to perform:
Top 3-meter score:
Top 1-meter score:
List 3-meter optional dives:
List 1-meter optional dives:
Athletic Injuries:
Academic Information
SAT:
SAT Math:
SAT Verbal:
ACT:
Class: *
High School
2-Year College
4-Year College
Post-High School, Non-College
GPA: *
Class Rank:
Grad Year: *
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
Eligibility Center ID:
Intended Major:
School Information
School Name: *
Clear
School Address 1: *
School Address 2:
School City: *
School Zip:
School State:
AL
AK
AR
AS
AZ
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
AB
AE
BC
DC
MB
NB
NL
NS
NT
NU
ON
PE
QC
SK
UN
YT
PR
VI
Phone:
School Country:
School Coach Information
Team Name: *
Clear
Email:
Work Phone:
Title: *
Mobile Phone:
Team Coach Information
Your Coach:
Select your head coach
My coach isn't in this list, I'll provide the information below
First Name: *
Last Name: *
Mobile Phone:
Email: *
Work Phone: *