Fields marked with * are mandatory
General

First Name *
*Please enter valid First Name
Nickname
*Please enter valid Nickname
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
Graduation Year *
*Please enter valid Graduation Year
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
*Please enter valid Mother's Email
Father's Name
*Please enter valid Father's Name
Father's Phone Number
*Please enter valid Father's Phone Number
Father's Email
*Please enter valid Father's Email
Coach's Name
*Please enter valid Coach's Name
Coach's E-mail
*Please enter valid Coach's E-mail
Coach's Phone Number
*Please enter valid Coach's Phone Number
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
GPA
*Please enter valid GPA
SAT Math
*Please enter valid SAT Math
SAT Verbal
*Please enter valid SAT Verbal
ACT
*Please enter valid ACT
Other College Choices
*Please enter valid Other College Choices
Major 1
*Please enter valid Major 1
Major 2
*Please enter valid Major 2
Major 3
*Please enter valid Major 3
Athletic

Events


















*Please enter valid Events
50 Freestyle Time
*Please enter valid 50 Freestyle Time
100 Freestyle Time
*Please enter valid 100 Freestyle Time
200 Freestyle Time
*Please enter valid 200 Freestyle Time
500 Freestyle Time
*Please enter valid 500 Freestyle Time
1,000 Freestyle Time
*Please enter valid 1,000 Freestyle Time
1,650 Freestyle Time
*Please enter valid 1,650 Freestyle Time
50 Backstroke Time
*Please enter valid 50 Backstroke Time
100 Backstroke Time
*Please enter valid 100 Backstroke Time
200 Backstroke Time
*Please enter valid 200 Backstroke Time
50 Butterfly Time
*Please enter valid 50 Butterfly Time
100 Butterfly Time
*Please enter valid 100 Butterfly Time
200 Butterfly Time
*Please enter valid 200 Butterfly Time
50 Breaststroke Time
*Please enter valid 50 Breaststroke Time
100 Breaststroke Time
*Please enter valid 100 Breaststroke Time
200 Breaststroke Time
*Please enter valid 200 Breaststroke Time
200 Individual Medley Time
*Please enter valid 200 Individual Medley Time
400 Individual Medley Time
*Please enter valid 400 Individual Medley Time
1M Diving - 6 Dives
*Please enter valid 1M Diving - 6 Dives
3M Diving - 6 Dives
*Please enter valid 3M Diving - 6 Dives
Recruiting Website
*Please enter valid Recruiting Website