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All About You
First Name: *
Last Name: *
Middle Name:
Preferred Name:
Cell Phone: *
Email: *
If international please include Skype ID:
Address: *
State- If international please put NE: *
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
Zip: *
City: *
Country:
Gender:
M
F
Date of Birth: *
Parent/Guardian Contact Information
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
First Name: *
Last Name: *
Cell Phone: *
Home Phone:
Email:
Occupation:
College Attended:
Employer:
Parent/Guardian Contact Information
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
First Name:
Last Name:
Home Phone:
Cell Phone:
Email:
Occupation:
College Attended:
Employer:
In the Classroom
Grad Year: *
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
SAT:
SAT Math:
SAT Verbal:
GPA- If international please put 4: *
ACT:
NCAA Eligibility Center Number: https://web3.ncaa.org/ecwr3/register/CERTIFICATION:
Class Rank:
Possible Major:
TOEFL:
In the Pool
Height: *
ft.
in.
Weight:
Please specify LCM, SCM or SCY for events below. (example: 400 Free LCM)
Best Event: *
Best Event Time: *
2nd Best Event:
2nd Best Event Time:
3rd Best Event:
3rd Best Event Time:
My Club Coach
Club Team Name: *
Clear
Your Coach:
Select your head coach
My coach isn't in this list, I'll provide the information below
Title:
First Name:
Last Name:
Email:
Cell Phone:
My High School Coach
Your Coach:
Select your head coach
My coach isn't in this list, I'll provide the information below
Title:
First Name:
Last Name:
Email:
Cell Phone:
My School
School Name: *
Clear
Address1:
Phone:
City: *
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
Zip:
Country: