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
Home Phone Number
*Please enter valid Home Phone Number
Cell Phone Number
*Please enter valid Cell Phone Number
Date of Birth
*Please enter valid Date of Birth
Background

Parent / Guardian Name 1
*Please enter valid Parent / Guardian Name 1
Parent / Guardian Phone 1
*Please enter valid Parent / Guardian Phone 1
Parent / Guardian Email 1
*Please enter valid Parent / Guardian Email 1
Parent / Guardian Name 2
*Please enter valid Parent / Guardian Name 2
Parent / Guardian Phone 2
*Please enter valid Parent / Guardian Phone 2
Parent / Guardian Email 2
*Please enter valid Parent / Guardian Email 2
Sibling(s) Name(s) / Age(s)
*Please enter valid Sibling(s) Name(s) / Age(s)
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
SAT Total
*Please enter valid SAT Total
ACT
*Please enter valid ACT
Academic Honors
*Please enter valid Academic Honors
Transcripts
*Please enter valid Transcripts
Intended Major
*Please enter valid Intended Major
Other College Choices
*Please enter valid Other College Choices
Athletic

Stroke(s)




*Please enter valid Stroke(s)
Height
FeetInch
*Please enter valid Height
Weight
*Please enter valid Weight
Club Team Name
*Please enter valid Club Team Name
Times/Scores
*Please enter valid Times/Scores
50 Yard Freestyle
*Please enter valid 50 Yard Freestyle
100 Yard Freestyle
*Please enter valid 100 Yard Freestyle
200 Yard Freestyle
*Please enter valid 200 Yard Freestyle
500 Yard Freestyle
*Please enter valid 500 Yard Freestyle
1000 Yard Freestyle
*Please enter valid 1000 Yard Freestyle
1650 Yard Freestyle
*Please enter valid 1650 Yard Freestyle
100 Yard Backstroke
*Please enter valid 100 Yard Backstroke
200 Yard Backstroke
*Please enter valid 200 Yard Backstroke
100 Yard Butterfly
*Please enter valid 100 Yard Butterfly
200 Yard Butterfly
*Please enter valid 200 Yard Butterfly
100 Yard Breaststroke
*Please enter valid 100 Yard Breaststroke
200 Yard Breaststroke
*Please enter valid 200 Yard Breaststroke
200 Yard IM
*Please enter valid 200 Yard IM
400 Yard IM
*Please enter valid 400 Yard IM
1 Meter Diving – 6 Dives
*Please enter valid 1 Meter Diving – 6 Dives
3 Meter Diving – 6 Dives
*Please enter valid 3 Meter Diving – 6 Dives
Notable Meters Events/Times
*Please enter valid Notable Meters Events/Times