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Personal Information
First Name: *
Middle Name:
Last Name: *
Preferred Name: *
Gender:
M
F
Email: *
Mobile Phone: *
Address: *
City: *
State: *
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Zip: *
Country:
Date of Birth: *
Place of Birth:
Height: *
ft.
in.
Weight:
Facebook:
Twitter:
Financial Aid Requested:
Yes
No
Hobbies:
Other Sports Played:
Friends or Relatives that have attended Brown?:
1st 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
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Girlfriend
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Husband
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Step Sister
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Athletic Director
Phone: *
Mobile Phone:
Email:
College Name:
Occupation:
Employer:
Work Phone:
Ext:
2nd 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:
Swimming Information
Years Swimming Competitively:
Diving Information
Number years diving:
Dives I am working on:
Other Dives:
Academic Information
Grad Year: *
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
GPA Unweighted: *
GPA Weighted: *
Class Rank:
ACT:
SAT Total:
SAT Critical Reading:
SAT Math:
SAT Writing:
SAT II Subject Test:
SAT II Subject Test Score:
SAT II Subject Test 2:
SAT II Subject Test Score 2:
Registered with Clearinghouse: *
Yes
No
NCAA Clearinghouse Number:
List colleges of interest:
Intended Major:
School Information
School Name: *
Clear
School Address: *
School City: *
School State: *
School Zip: *
Guidance Counselor Name: *
Guidance Counselor Email: *
Guidance Counselor Phone: *
School Coach Information
School Coach Name:
School Coach Email:
School Coach Phone:
Team Information
Team Name: *
Clear
Training Site: *
Team Address: *
Team City: *
Team State: *
Team Zip: *
Team Coach Information
Primary Coach Name: *
Primary Coach Email: *
Primary Coach Phone: *