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Personal Information
Prospect Code:
First Name: *
Last Name: *
Middle Name:
Preferred Name:
Address: *
Email: *
City: *
State:
AL
AK
AR
AS
AZ
CA
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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
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AB
AE
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MB
NB
NL
NS
NT
NU
ON
PE
QC
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UN
YT
PR
VI
Zip:
Country:
Phone: *
Mobile/Alt. Phone:
Gender: *
M
F
Date of Birth: *
Academic Information
ACT:
SAT:
GPA: *
Class: *
High School
2-Year College
4-Year College
Post-High School, Non-College
Grad Year: *
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
Registered with Clearinghouse: *
Yes
No
Intended Major:
Athletic Information
Do you have a link to diving video of you?:
How Long have you been diving?:
Do you dive year round?:
Yes
No
How long have you been diving year round?:
Do you dive on a club team?:
Yes
No
What is your 1m list?:
What is your 3m list?:
What is your platform list?:
What new dives are you working on?:
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:
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:
School Country:
Phone:
School Coach Information
Your Coach:
Select your head coach
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First Name:
Last Name:
Email:
Title:
Work Phone:
Mobile Phone:
Club 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:
Title:
Work Phone:
Mobile Phone: