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Personal Information
First Name: *
Last Name: *
Swim/Dive:
Swim
Dive
Middle Name:
Preferred Name:
Email: *
Facebook Email:
Address: *
City: *
State:
AL
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AR
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DE
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ID
IL
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MS
MO
MT
NE
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NH
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OR
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MB
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ON
PE
QC
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UN
YT
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VI
Zip:
Country:
Phone: *
Mobile/Alt. Phone:
Gender:
M
F
Date of Birth: *
Hobbies:
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
Home Phone: *
Mobile Phone:
Email:
College Attended:
Occupation:
Employer:
Work Phone:
Extension:
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
Home Phone: *
Mobile Phone:
Email:
College Attended:
Occupation:
Employer:
Work Phone:
Extension:
Academic Information
SAT:
SAT Math:
SAT Verbal:
ACT:
GPA: *
Class: *
High School
2-Year College
4-Year College
Post-High School, Non-College
Class Rank:
Grad Year: *
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
Registered with Clearinghouse: *
Yes
No
Intended Major:
1st College Preference:
2nd College Preference:
3rd College Preference:
Athletic Information
Height: *
ft.
in.
Weight: *
School Information
School Name: *
Clear
Address1: *
Address2:
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:
Phone:
Fax:
Mascot:
Colors:
Website:
Principal's First Name:
Principal's Last Name:
Principal's Email:
Principal's Phone:
Principal's Fax:
Registrar's First Name:
Registrar's Last Name:
Registrar's Email:
Registrar's Phone:
Registrar's Fax:
Guidance Counselor's First Name:
Guidance Counselor's Last Name:
Guidance Counselor's Email:
Guidance Counselor's Phone:
Guidance Counselor's Fax:
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:
Title: *
Work Phone:
Mobile Phone:
Home Phone:
Swimming Information
50 Free:
:
:
100 Free:
:
:
200 Free:
:
:
500 Free:
:
:
1650 Free:
:
:
100 Back:
:
:
200 Back:
:
:
100 Breast:
:
:
200 Breast:
:
:
100 Fly:
:
:
200 Fly:
:
:
200 IM:
:
:
400 IM:
:
:
200 Free Relay Split:
:
:
400 Free Relay Split:
:
:
800 Free Relay Split:
:
:
200 Medley Relay Split:
:
:
400 Medley Relay Split:
:
:
Diving Information
Diving Results: U.S. Nationals:
Diving Results: J.O. Nationals:
Diving Results: High School State Meet:
Diving Results: Diving Honors:
Diving Results: Other Competitions:
Optional Dives: 1 meter:
Optional Dives: 3 meter:
Optional Dives: Platform:
Team Information
Team Name: *
Clear
District/County:
Address: *
Address 2:
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 Code: *
Country:
Phone: *
Fax:
Mascot:
Colors:
Website:
Principal's First Name:
Principal's Last Name:
Principal's Email:
Principal's Phone:
Principal's Fax:
Registrar's First Name:
Registrar's Last Name:
Registrar's Email:
Registrar's Phone:
Registrar's Fax:
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: *
Email: *
Title:
Work Phone: *
Mobile/Cell Phone:
Home Phone: