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
Date of Birth
*Please enter valid Date of Birth
Height
FeetInch
*Please enter valid Height
Weight
*Please enter valid Weight
Background

Mother's Name
*Please enter valid Mother's Name
Mother's Email Address
*Please enter valid Mother's Email Address
Father's Name
*Please enter valid Father's Name
Father's Email Address
*Please enter valid Father's Email Address
Siblings Names/Ages
*Please enter valid Siblings Names/Ages
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
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 Writing
*Please enter valid SAT Writing
ACT
*Please enter valid ACT
ACT Science Subscore
*Please enter valid ACT Science Subscore
ACT Math Subscore
*Please enter valid ACT Math Subscore
Academic Honors
*Please enter valid Academic Honors
Intended Major
*Please enter valid Intended Major
Other College Choices
*Please enter valid Other College Choices
SAT II Math Level 2
*Please enter valid SAT II Math Level 2
SAT II Bio
*Please enter valid SAT II Bio
SAT II Chem
*Please enter valid SAT II Chem
SAT II Physics
*Please enter valid SAT II Physics
Math and Science Extra-Curricular Activities
*Please enter valid Math and Science Extra-Curricular Activities
Athletic

Position(s)








*Please enter valid Position(s)
50 Freestyle Time
*Please enter valid 50 Freestyle Time
100 Freestyle Time
*Please enter valid 100 Freestyle Time
Other Swim Events
*Please enter valid Other Swim Events