Fields marked with * are mandatory
General

First Name *
*Please enter valid First Name
Middle Name
*Please enter valid Middle Name
Last Name *
*Please enter valid Last Name
Preferred name
*Please enter valid Preferred name
Gender *

*Please enter valid Gender
Email Address *
*Please enter valid Email Address
Home Address 1 *
*Please enter valid Home Address 1
Home Address 2
*Please enter valid Home Address 2
City *
*Please enter valid City
State *
*Please enter valid State
Zip *
*Please enter valid Zip
Contact Number *
*Please enter valid Contact Number
Cell Phone Number
*Please enter valid Cell Phone Number
Graduation Year *
*Please enter valid Graduation Year
Date of Birth
*Please enter valid Date of Birth
Note/Comment
*Please enter valid Note/Comment
Country
*Please enter valid Country
Birthdate
*Please enter valid Birthdate
Nickname
*Please enter valid Nickname
Background

Parent/Guardian 1 Name
*Please enter valid Parent/Guardian 1 Name
Parent/Guardian 1 Phone Number
*Please enter valid Parent/Guardian 1 Phone Number
Parent/Guardian 1 Email Address
*Please enter valid Parent/Guardian 1 Email Address
Parent/Guardian 2 Name
*Please enter valid Parent/Guardian 2 Name
Parent/Guardian 2 Phone Number
*Please enter valid Parent/Guardian 2 Phone Number
Parent/Guardian 2 Email Address
*Please enter valid Parent/Guardian 2 Email Address
Sibling(s) / Name(s) and Age(s)
*Please enter valid Sibling(s) / Name(s) and Age(s)
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
School Phone Number
*Please enter valid School Phone Number
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
Other College Choices
*Please enter valid Other College Choices
Transcripts
*Please enter valid Transcripts
Intended Major
*Please enter valid Intended Major
Academic Interests
*Please enter valid Academic Interests
Athletic

Club Team
*Please enter valid Club Team
Club Coaches Name
*Please enter valid Club Coaches Name
Club Coaches Phone Number
*Please enter valid Club Coaches Phone Number
Club Coaches Email
*Please enter valid Club Coaches Email
High School Coach Name
*Please enter valid High School Coach Name
High School Coach Phone Number
*Please enter valid High School Coach Phone Number
Stroke(s)




*Please enter valid Stroke(s)
Other Sports Played
*Please enter valid Other Sports Played
Athletic Honors
*Please enter valid Athletic Honors
High School Coach Email
*Please enter valid High School Coach Email
Personal Best Times
*Please enter valid Personal Best Times
50 Free
*Please enter valid 50 Free
100 Free
*Please enter valid 100 Free
200 Free
*Please enter valid 200 Free
400/500 Free
*Please enter valid 400/500 Free
800/1000 Free
*Please enter valid 800/1000 Free
1500/1650 Free
*Please enter valid 1500/1650 Free
100 Back
*Please enter valid 100 Back
200 Back
*Please enter valid 200 Back
100 Breast
*Please enter valid 100 Breast
200 Breast
*Please enter valid 200 Breast
100 Fly
*Please enter valid 100 Fly
200 Fly
*Please enter valid 200 Fly
100 IM
*Please enter valid 100 IM
200 IM
*Please enter valid 200 IM
400 IM
*Please enter valid 400 IM
Height
FeetInch
*Please enter valid Height
Weight
*Please enter valid Weight