Fields marked with * are mandatory
General

First Name *
*Please enter valid First Name
Last Name *
*Please enter valid Last Name
Email Address *
*Please enter valid Email Address
Home Address1
*Please enter valid Home Address1
Home Address2
*Please enter valid Home Address2
City
*Please enter valid City
State
*Please enter valid State
Zip
*Please enter valid Zip
Contact Number
*Please enter valid Contact Number
CellPhone Number
*Please enter valid CellPhone Number
Graduation Year
*Please enter valid Graduation Year
Position






*Please enter valid Position
Gender

*Please enter valid Gender
Academic

High School
School Name
Address1
Address2
Address3
City
State
Zip
Country
CEEB Code
the school is not listed above
*Please enter valid High School
Intended Major
*Please enter valid Intended Major
Other Schools
*Please enter valid Other Schools
Athletic

EVENT 1 & Time or Score
*Please enter valid EVENT 1 & Time or Score
EVENT 2 & Time or Score
*Please enter valid EVENT 2 & Time or Score
EVENT 3 & Time or Score
*Please enter valid EVENT 3 & Time or Score
Club Team
*Please enter valid Club Team
Club Coach Name
*Please enter valid Club Coach Name
Club Coach Email
*Please enter valid Club Coach Email
Club Coach Phone
*Please enter valid Club Coach Phone
High School Coach Name
*Please enter valid High School Coach Name
High School Coach Email
*Please enter valid High School Coach Email
High School Coach Phone
*Please enter valid High School Coach Phone
Name / Email of another interested swimmer/diver
*Please enter valid Name / Email of another interested swimmer/diver