Front Rush

Fields marked with * are mandatory

General

Legal First Name *

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Preferred Name *

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Last Name *

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Suffix

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Email Address *

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Home Address1 *

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Home Address2

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City *

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State *

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Zip *

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Country

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Contact Number

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Cell Phone Number *

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Profile Image

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Date of Birth *

Open the calendar popup.

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Sex *

Male

Female

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Best time to contact you

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Entry Term *

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Student Type

First-Year

Transfer

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Background

Parent/Guardian 1 First Name *

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Parent/Guardian 1 Last Name *

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Parent/Guardian 1 Email Address *

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Parent/Guardian 1 Phone Number *

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Parent/Guardian 2 First Name

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Parent/Guardian 2 Last Name

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Parent/Guardian 2 Email Address

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Parent/Guardian 2 Phone Number

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Academic

Graduation Year *

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High School *

School Name

Address1

Address2

Address3

City

State

Zip

Country

CEEB Code

the school is not listed above

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Class Rank

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GPA

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SAT Math

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SAT EBRW

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SAT Total

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ACT

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SAT II (i)

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SAT II (ii)

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Academic Honors

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Intended Major

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Top-3 College Choices *

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Transcripts

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Athletic

Position

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50 Free

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100 Free

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200 Free

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500 Free

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1000 Free

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1650 Free

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100 Back

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200 Back

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100 Breast

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200 Breast

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100 Fly

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200 Fly

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200 IM

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400 IM

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Upcoming Shave/Taper/Rest Meet(name/date/location)

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Club Team

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Club Team Coach

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Club Coach Email Address

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Club Coach Phone Number

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I am intereseted in hearing about sports camps in my area through Ryzer.
When you opt in to Ryzer, we share your email address, zip code, and name with Ryzer so that they can send you information on relevant camps that you might be interested in.
The data in Ryzer is subject to their data privacy policy. Data in Ryzer does not expire and can be removed in Ryzer and by request anytime.

Personal Contacts

Include any personal contacts you would like to share with this school.These contacts may receive emails, texts or calls for staff at the school.

First

Last

Main #

Secondary #

Cell #

Questionnaires