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
CellPhone Number
*Please enter valid CellPhone Number
Graduation Year
*Please enter valid Graduation Year
Date of Birth
*Please enter valid Date of Birth
Are you currently competing at another college?

*Please enter valid Are you currently competing at another college?
If yes, please include the school
*Please enter valid If yes, please include the school
Another Colleges/Universities Attended
*Please enter valid Another Colleges/Universities Attended
Background

Mother's Name
*Please enter valid Mother's Name
Mother's Phone Number
*Please enter valid Mother's Phone Number
Father's Name
*Please enter valid Father's Name
Father's Phone Number
*Please enter valid Father's Phone Number
Race/Ethnicity (Used for NCAA compliance)
*Please enter valid Race/Ethnicity (Used for NCAA compliance)
Other Race/Ethnicity
*Please enter valid Other Race/Ethnicity
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
Counselor's Name
*Please enter valid Counselor's Name
Class Rank
*Please enter valid Class Rank
GPA
*Please enter valid GPA
SAT Math
*Please enter valid SAT Math
SAT Verbal
*Please enter valid SAT Verbal
SAT Writing
*Please enter valid SAT Writing
ACT
*Please enter valid ACT
Intended Major *
*Please enter valid Intended Major
Athletic

Primary Event(s)







*Please enter valid Primary Event(s)
Secondary Event(s)







*Please enter valid Secondary Event(s)
Recruiting Website
*Please enter valid Recruiting Website
Awards/Accolades
*Please enter valid Awards/Accolades
50 Freestyle
*Please enter valid 50 Freestyle
100 Freestyle
*Please enter valid 100 Freestyle
200 Freestyle
*Please enter valid 200 Freestyle
500 Freestyle
*Please enter valid 500 Freestyle
1000 Freestyle
*Please enter valid 1000 Freestyle
1650 Freestyle
*Please enter valid 1650 Freestyle
50 Backstroke
*Please enter valid 50 Backstroke
100 Backstroke
*Please enter valid 100 Backstroke
200 Backstroke
*Please enter valid 200 Backstroke
50 Butterfly
*Please enter valid 50 Butterfly
100 Butterfly
*Please enter valid 100 Butterfly
200 Butterfly
*Please enter valid 200 Butterfly
50 Breaststroke
*Please enter valid 50 Breaststroke
100 Breaststroke
*Please enter valid 100 Breaststroke
200 Breaststroke
*Please enter valid 200 Breaststroke
200 IM
*Please enter valid 200 IM
400 IM
*Please enter valid 400 IM
1m Diving Scores
*Please enter valid 1m Diving Scores
3m Diving Scores
*Please enter valid 3m Diving Scores
Swimming Awards/Accolades
*Please enter valid Swimming Awards/Accolades
ClubTeam
*Please enter valid ClubTeam
Club Coach’s Name *
*Please enter valid Club Coach’s Name
Club Coach’s Contact Number
*Please enter valid Club Coach’s Contact Number