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Personal Information
First Name: *
Last Name: *
Middle Name:
Preferred Name:
Swim/Dive: *
Swim
Dive
NCAA ID Number:
Date of Birth: *
Gender: *
M
F
Email: *
Phone: *
Address: *
City: *
Zip:
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
Country:
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:
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:
Swimming Information
Height:
ft.
in.
Weight:
50 Free:
:
:
100 Free:
:
:
200 Free:
:
:
500 Free:
:
:
1650 Free:
:
:
100 Back:
:
:
200 Back:
:
:
100 Fly:
:
:
200 Fly:
:
:
100 Breast:
:
:
200 Breast:
:
:
200 IM:
:
:
400 IM:
:
:
Diving Information
Height:
ft.
in.
Weight:
Diving Results: U.S. Nationals:
Optional Dives: 1 meter:
Diving Results: J.O. Nationals:
Optional Dives: 3 meter:
Diving Results: High School State Meet:
Optional Dives: Platform:
Diving Results: Other Competitions:
Diving Results: Diving Honors:
Academic Information
Grad Year: *
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
Class: *
High School
2-Year College
4-Year College
Post-High School, Non-College
Intended Major:
GPA: *
Class Rank:
SAT:
SAT Math:
SAT Verbal:
ACT:
1st College Preference:
2nd College Preference:
3rd College Preference:
Team Information
Team Name: *
Clear
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
Country:
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/Cell Phone:
School Coach Information
School Name: *
Clear
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: