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Personal Information
Prospect Code:
First Name: *
Last Name: *
Height: *
ft.
in.
Middle Name:
Preferred Name:
Shoe Size: *
Email: *
Date of Birth: *
Weight: *
Address: *
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
City: *
Zip:
Country:
Phone: *
Mobile/Alt. Phone: *
Hobbies:
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
Home Phone: *
Mobile Phone:
Email:
College Attended:
Occupation:
Employer:
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
Home Phone: *
Mobile Phone:
Email:
College Attended:
Occupation:
Employer:
Athletic Information
Distance 1:
50
100
200
400/500
800/1000
1500/1650
400
500
800
1000
1500
1600
1650
Stroke 1:
Free
Back
Breast
Fly
IM
Course 1:
SCM
SCY
LCM
Event 1 Time:
:
:
Date Acheived 1:
Distance 2:
50
100
200
400/500
800/1000
1500/1650
400
500
800
1000
1500
1600
1650
Stroke 2:
Free
Back
Breast
Fly
IM
Course 2:
SCM
SCY
LCM
Event 2 Time:
:
:
Date Achieved 2:
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
Event 3 Time:
:
:
Date Achieved 3:
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
Event 4 Time:
:
:
Date Achieved 4:
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
Event 5 Time:
:
:
Date Achieved 5:
Academic Information
SAT:
SAT Math:
SAT Verbal:
Class: *
High School
2-Year College
4-Year College
Post-High School, Non-College
GPA: *
ACT Composite:
Class Rank:
Grad Year: *
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
Registered with Clearinghouse: *
Yes
No
Clearinghouse ID:
Intended Major:
School Information
School Name: *
Clear
Address1: *
Address2:
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:
Phone:
Fax:
Website:
Registrar's First Name:
Registrar's Last Name:
Registrar's Email:
Registrar's Phone:
Registrar's Fax:
High School Coach Information
Your Coach:
Select your head coach
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First Name: *
Last Name: *
Email:
Work Phone:
Title: *
Mobile Phone:
Club Team Information
Your Coach:
Select your head coach
My coach isn't in this list, I'll provide the information below
Team Name:
Clear
Coach Name:
Address:
Coach Email:
Address 2:
Coach 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 Code:
Country:
Website:
Fax: