This page requires JavaScript to be enabled on your browser.
Please enable JavaScript and then reload this page.
Personal Information
First Name: *
Last Name: *
Middle Name:
Preferred Name:
Gender:
M
F
Date of Birth: *
Email: *
Mobile Phone: *
Address: *
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:
Parent/Guardian Contact Information #1
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
Occupation:
Email:
Phone:
Parent/Guardian Contact Information #2
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
Occupation:
Phone:
Email:
Athletic Information
Height:
ft.
in.
Weight:
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:
:
:
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:
:
:
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:
:
:
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:
:
:
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:
:
:
Academic Information
Grad Year: *
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
SAT:
SAT Math:
SAT Verbal:
ACT:
GPA: *
Class Rank:
Registered with Clearinghouse: *
Yes
No
NCAA Eligibility Center ID:
Intended Major:
School Information
School Name: *
Clear
School Address 1:
School Address 2:
School City:
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
School Zip:
Website:
School Country:
Guidance Counselor's First Name:
Guidance Counselor's Last Name:
Guidance Counselor's Email:
High School Coach Information
Your Coach:
Select your head coach
My coach isn't in this list, I'll provide the information below
First Name:
Last Name:
Email:
Mobile Phone:
Club Team Information
Team Name:
Clear
Website:
Club Team Coach Information
Your Coach:
Select your head coach
My coach isn't in this list, I'll provide the information below
First Name:
Last Name:
Title:
Email:
Mobile Phone: