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Personal Information
High School Grad Year: *
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
Gender: *
M
F
Date of Birth: *
First Name: *
Middle Initial:
Last Name: *
Preferred Name:
Email: *
Instagram:
Home Phone:
Athlete Cell #: *
Facebook:
Address: *
City: *
Twitter:
Zip: *
Country: *
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
Height: *
ft.
in.
Weight: *
NCAA Eligibility Center Number:
Swimming & Diving Events & Times/Scores
EVENT 1: *
Free
Back
Breast
Fly
IM
1 METER DIVE
3 METER DIVE
PLATFORM DIVE
Distance 1: *
50
100
200
400/500
800/1000
400
1500/1650
800
1000
1500
500
1650
SPRINGBOARD
1600
PLATFORM
Event 1 Time:
:
:
Course 1: *
SCM
SCY
LCM
EVENT 2: *
Free
Back
Breast
Fly
IM
1 METER DIVE
3 METER DIVE
PLATFORM DIVE
Distance 2: *
50
100
200
400/500
800/1000
1500/1650
400
500
800
1000
1500
1600
1650
SPRINGBOARD
PLATFORM
Event 2 Time:
:
:
Course 2: *
SCM
SCY
LCM
EVENT 3:
Free
Back
Breast
Fly
IM
1 METER DIVE
3 METER DIVE
PLATFORM DIVE
Distance 3:
50
100
200
400/500
800/1000
1500/1650
400
500
800
1000
1500
1600
1650
SPRINGBOARD
PLATFORM
Event 3 Time:
:
:
Course 3:
SCM
SCY
LCM
EVENT 4:
Free
Back
Breast
Fly
IM
1 METER DIVE
3 METER DIVE
PLATFORM DIVE
Distance 4:
50
100
200
400/500
800/1000
1500/1650
400
500
800
1000
1500
1600
1650
Event 4 Time:
:
:
Course 4:
SCM
SCY
LCM
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:
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:
School Information
High School Name: *
Clear
School Address 1: *
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:
Fax:
Guidance Counselor's Fax:
Guidanece Counselor Name:
Guidance Counselor's Email:
Guidance Counselor's Phone:
Academic Information
Intended Major:
GPA:
SAT:
SAT Math:
SAT CRITICAL READING:
ACT:
TOFEL Score:
Team Information
Club Team Name: *
Clear
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
COACH TITLE:
Your Coach:
Select your head coach
My coach isn't in this list, I'll provide the information below
COACH NAME: *
COACH PHONE:
COACH EMAIL: *