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Personal Information
Prospect Code:
First Name: *
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Middle Name:
Preferred Name:
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Facebook:
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Twitter:
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Hobbies:
Date of Birth: *
*You must enter the date in the format: mm/dd/yyyy
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Parent/Guardian 1 Contact Information
First Name: *
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Last Name: *
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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
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Phone: *
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Mobile Phone:
Email: *
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*Invalid email address
College Name:
Occupation: *
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Employer:
Work Phone:
Ext:
Parent/Guardian 2 Contact Information
First Name: *
*Required
Last Name: *
*Required
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
*Required
Phone: *
*Required
Mobile Phone:
Email: *
*Required
*Invalid email address
College Name:
Occupation: *
*Required
Employer:
Work Phone:
Ext:
Parent/Guardian 3 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:
*Invalid email address
College Name:
Occupation:
Employer:
Work Phone:
Ext:
Swimming & Diving Information
Height: *
ft.
in.
*Required
Weight: *
*Required
Event 1: *
50 Freestyle
100 Freestyle
200 Freestyle
500 Freestyle
1000 Freestyle
1650 Freestyle
100 Backstroke
200 Backstroke
100 Breaststroke
200 Breaststroke
100 Butterfly
200 Butterfly
200 Individual Medley
400 Individual Medley
1 Meter Dive
3 Meter Dive
Platform Dive
*Required
Event 1 Result: *
*Required
Event 2: *
50 Freestyle
100 Freestyle
200 Freestyle
500 Freestyle
1000 Freestyle
1650 Freestyle
100 Backstroke
200 Backstroke
100 Breaststroke
200 Breaststroke
100 Butterfly
200 Butterfly
200 Indivdual Medley
400 Individual Medley
1 Meter Dive
3 Meter Dive
Platform Dive
*Required
Event 2 Result: *
*Required
Event 3: *
50 Freestyle
100 Freestyle
200 Freestyle
500 Freestyle
1000 Freestyle
1650 Freestyle
100 Backstroke
200 Backstroke
100 Breaststroke
200 Breaststroke
100 Butterfly
200 Butterfly
200 Indivdual Medley
400 Individual Medley
1 Meter Dive
3 Meter Dive
Platform Dive
*Required
Event 3 Result: *
*Required
Event 4:
50 Freestyle
100 Freestyle
200 Freestyle
500 Freestyle
1000 Freestyle
1650 Freestyle
100 Backstroke
200 Backstroke
100 Breaststroke
200 Breaststroke
100 Butterfly
200 Butterfly
200 Indivdual Medley
400 Individual Medley
Event 4 Result:
Event 5:
50 Freestyle
100 Freestyle
200 Freestyle
500 Freestyle
1000 Freestyle
1650 Freestyle
100 Backstroke
200 Backstroke
100 Breaststroke
200 Breaststroke
100 Butterfly
200 Butterfly
200 Indivdual Medley
400 Individual Medley
Event 5 Result:
Event 6:
50 Freestyle
100 Freestyle
200 Freestyle
500 Freestyle
1000 Freestyle
1650 Freestyle
100 Backstroke
200 Backstroke
100 Breaststroke
200 Breaststroke
100 Butterfly
200 Butterfly
200 Indivdual Medley
400 Individual Medley
Event 6 Result:
Academic Information
SAT: *
*Required
ACT: *
*Required
SAT Math: *
*Required
SAT Verbal: *
*Required
GPA: *
*Required
*Invalid GPA
Class Rank: *
*Required
Grad Year: *
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
*Required
Registered with Clearinghouse: *
Yes
No
*Required
Intended Major:
1st College Preference:
2nd College Preference:
3rd College Preference:
School Information
School Name: *
Clear
*Required
School Address 1: *
*Required
School Address 2:
School City: *
*Required
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
*Required
School Zip: *
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Phone: *
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Fax:
Website:
School Coach Information
Your Coach:
Select your head coach
My coach isn't in this list, I'll provide the information below
First Name: *
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Last Name: *
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Email: *
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Mobile Phone: *
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Work Phone:
Team Information
Team Name: *
Clear
*Required
Team Address 1: *
*Required
Team Address 2:
Team City: *
*Required
Team 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
*Required
Team Zip: *
*Required
Phone: *
*Required
Website:
Team Coach Information
Your Coach:
Select your head coach
My coach isn't in this list, I'll provide the information below
First Name: *
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Last Name: *
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Email: *
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Mobile Phone: *
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Work Phone: