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Personal Information
First Name: *
Last Name: *
Gender:
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Middle Name:
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Email: *
Facebook Email:
Address: *
City: *
Financial Aid Requested:
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Zip: *
Country:
Height: *
ft.
in.
Phone: *
Mobile/Alt. Phone:
Weight: *
Date of Birth: *
Place of Birth:
Other Sports Played:
Hobbies:
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
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:
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
Swimmer/Diver: *
Swimmer
Diver
50 Free LCM:
Years Swimming Competitively:
50 Free Yds:
100 Free LCM:
100 Free Yds:
200 Free LCM:
200 Free Yds:
400 Free LCM:
500 Free Yds:
800 Free LCM:
1000 Free Yds:
1500 Free LCM:
1650 Free Yds:
100 Fly LCM:
100 Fly Yds:
200 Fly LCM:
200 Fly Yds:
100 Breast LCM:
100 Breast Yds:
200 Breast LCM:
200 Breast Yds:
100 Back LCM:
100 Back Yds:
200 Back LCM:
200 Back Yds:
200 IM LCM:
200 IM Yds:
400 IM LCM:
400 IM Yds:
Diving Information
1M 6 Dive Score:
Number years diving:
1M 10 Dive/11 Dive List:
Dives I am working on:
3M 10 Dive/11 Dive List:
Other Dives:
List 1-meter optional dives:
List 3-meter optional dives:
Academic Information
SAT Total:
SAT Math:
SATCritical Reading:
SAT Writing:
ACT:
SAT II Subject Test:
SAT II Subject Test Score:
SAT II Subject Test 2:
SAT II Subject Test Score 2:
Grad Year: *
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
GPA: *
Class Rank:
Registered with Clearinghouse: *
Yes
No
NCAA Clearinghouse Number:
Intended Major:
List colleges of interest:
School Information
School Name: *
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School Address 1:
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School City: *
School State: *
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VI
School Zip:
School Country:
Phone:
Guidance Counselor's First Name:
Guidance Counselor's Last Name:
Guidance Counselor's Email:
Guidance Counselor's Phone:
School Coach Information
Your Coach:
Select your head coach
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First Name:
Last Name:
Title:
Email:
Mobile Phone:
Work Phone:
Team Information
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Team Address 1:
Team Address 2:
Team City: *
Team State: *
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MO
MT
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NJ
NM
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OR
PA
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SC
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TN
TX
UT
VT
VA
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WV
WI
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BC
DC
MB
NB
NL
NS
NT
NU
ON
PE
QC
SK
UN
YT
PR
VI
Team Zip:
Team Country:
Phone:
Team Coach Information
Your Coach:
Select your head coach
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First Name:
Last Name:
Title:
Email:
Mobile Phone:
Work Phone: