Personal Information First Name: * Last Name: * Middle Name: Preferred Name: Email: * 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: Phone: * Mobile/Alt. Phone: Gender: M F Date of Birth: * Facebook: HUDL: Instagram: Twitter: Hobbies:   Times/Scores 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 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 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 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 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 Event 5 Time: :: Distance 6: 50 100 200 400/500 800/1000 1500/1650 400 500 800 1000 1500 1600 1650 Stroke 6: Free Back Breast Fly IM Event 6 Time: :: Distance 7: 50 100 200 400/500 800/1000 1500/1650 400 500 800 1000 1500 1600 1650 Stroke 7: Free Back Breast Fly IM Event 7 Time: :: Distance 8: 50 100 200 400/500 800/1000 1500/1650 400 500 800 1000 1500 1600 1650 Stroke 8: Free Back Breast Fly IM Event 8 Time: :: Dives working to preform: Top 1-meter score: Top 3-meter score: Short Course Meters (SCM): Short Course Yards (SCY): Long Course Meters (LCM):   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:   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:   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:   Athletic Information Height: * ft.in. Weight: *   Academic Information Grad Year: * 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 GPA: * Class Rank: SAT: SAT Math: SAT Verbal: ACT: Registered with Clearinghouse: * Yes No NCAA Eligibility ID #: Class: * High School 2-Year College 4-Year College Post-High School, Non-College Intended Major:   School Information School Name: * Clear 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 Country: School Zip: Phone: Guidance Counselor's First Name: Guidance Counselor's Last Name: Guidance Counselor's Email: Guidance Counselor's Phone:   Team Information Team Name: * Clear Team City: * Team Zip: * Team 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 Phone: Team Country: Website:   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: *   Mobile Phone: Work Phone: