Fields marked with * are mandatory
General

First Name *
*Please enter valid First Name
Last Name *
*Please enter valid Last Name
Nickname
*Please enter valid Nickname
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
Date of Birth
*Please enter valid Date of Birth
Gender

*Please enter valid Gender
Background

Mother's Name
*Please enter valid Mother's Name
Mother's Phone Number
*Please enter valid Mother's Phone Number
Mother's Email Address
*Please enter valid Mother's Email Address
Father's Name
*Please enter valid Father's Name
Father's Phone Number
*Please enter valid Father's Phone Number
Father's Email Address
*Please enter valid Father's Email Address
Academic

Graduation Year
*Please enter valid Graduation Year
High School/College
School Name
Address1
Address2
Address3
City
State
Zip
Country
CEEB Code
the school is not listed above
*Please enter valid High School/College
Counselor's Name
*Please enter valid Counselor's Name
Counselor's Phone
*Please enter valid Counselor's Phone
Counselor's Email
*Please enter valid Counselor's Email
Class Rank
*Please enter valid Class Rank
GPA
*Please enter valid GPA
SAT Math
*Please enter valid SAT Math
SAT Critical Reading
*Please enter valid SAT Critical Reading
SAT Total
*Please enter valid SAT Total
ACT
*Please enter valid ACT
Academic Honors
*Please enter valid Academic Honors
Intended Major
*Please enter valid Intended Major
Other College Choices
*Please enter valid Other College Choices
Athletic

Recruiting Website
*Please enter valid Recruiting Website
Youtube Link
*Please enter valid Youtube Link
Tournaments Attending
*Please enter valid Tournaments Attending
Event(s)
















*Please enter valid Event(s)
Best Times
*Please enter valid Best Times
50 FR
*Please enter valid 50 FR
100 FR
*Please enter valid 100 FR
200 FR
*Please enter valid 200 FR
500/400 FR
*Please enter valid 500/400 FR
1000/800 FR
*Please enter valid 1000/800 FR
1650/1500 FR
*Please enter valid 1650/1500 FR
50 BA
*Please enter valid 50 BA
100 BA
*Please enter valid 100 BA
200 BA
*Please enter valid 200 BA
50 BR
*Please enter valid 50 BR
100 BR
*Please enter valid 100 BR
200 BR
*Please enter valid 200 BR
50 Fly
*Please enter valid 50 Fly
100 Fly
*Please enter valid 100 Fly
200 Fly
*Please enter valid 200 Fly
200 IM
*Please enter valid 200 IM
400 IM
*Please enter valid 400 IM
HS Coach Name
*Please enter valid HS Coach Name
HS Coach Phone
*Please enter valid HS Coach Phone
HS Coach Email
*Please enter valid HS Coach Email
Club Team Name
*Please enter valid Club Team Name
Club Coach Name
*Please enter valid Club Coach Name
Club Coach Phone
*Please enter valid Club Coach Phone
Club Coach Email
*Please enter valid Club Coach Email
Swimming Accomplishments
*Please enter valid Swimming Accomplishments