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All About You
First Name: *
*Required
Last Name: *
*Required
Middle Name:
Preferred Name:
Cell Phone: *
*Required
Email: *
*Required
*Invalid email address
If international please include Skype ID:
Address: *
*Required
State- If international please put NE: *
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
*Required
Zip: *
*Required
City: *
*Required
Country:
Gender:
M
F
Date of Birth: *
*You must enter the date in the format: mm/dd/yyyy
*Required
Parent/Guardian Contact Information
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
*Required
First Name: *
*Required
Last Name: *
*Required
Cell Phone: *
*Required
Home Phone:
Email:
*Invalid email address
Occupation:
College Attended:
Employer:
Parent/Guardian Contact Information
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
First Name:
Last Name:
Home Phone:
Cell Phone:
Email:
*Invalid email address
Occupation:
College Attended:
Employer:
In the Classroom
Grad Year: *
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
*Required
SAT:
SAT Math:
SAT Verbal:
GPA- If international please put 4: *
*Required
*Invalid GPA
ACT:
NCAA Eligibility Center Number: https://web3.ncaa.org/ecwr3/register/CERTIFICATION:
Class Rank:
Possible Major:
TOEFL:
In the Pool
Height: *
ft.
in.
*Required
Weight:
Please specify LCM, SCM or SCY for events below. (example: 400 Free LCM)
Best Event: *
*Required
Best Event Time: *
*Required
2nd Best Event:
2nd Best Event Time:
3rd Best Event:
3rd Best Event Time:
My Club Coach
Club Team Name: *
Clear
*Required
Your Coach:
Select your head coach
My coach isn't in this list, I'll provide the information below
Title:
First Name:
Last Name:
Email:
*Invalid email address
Cell Phone:
My High School Coach
Your Coach:
Select your head coach
My coach isn't in this list, I'll provide the information below
Title:
First Name:
Last Name:
Email:
*Invalid email address
Cell Phone:
My School
School Name: *
Clear
*Required
Address1:
Phone:
City: *
*Required
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: