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
Graduation Year
*Please enter valid Graduation Year
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
Date of Birth
*Please enter valid Date of Birth
Screen Name
*Please enter valid Screen Name
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
Leave blank if not taken any standardized tests
*Please enter valid Leave blank if not taken any standardized tests
SAT Math
*Please enter valid SAT Math
SAT Verbal
*Please enter valid SAT Verbal
SAT Writing
*Please enter valid SAT Writing
ACT
*Please enter valid ACT
SAT II (i)
*Please enter valid SAT II (i)
SAT II (ii)
*Please enter valid SAT II (ii)
Intended Major
*Please enter valid Intended Major
Other College Choices
*Please enter valid Other College Choices
SATII (iii)
*Please enter valid SATII (iii)
NCAA Clearing House ID Number
*Please enter valid NCAA Clearing House ID Number
Athletic

Height
FeetInch
*Please enter valid Height
Weight
*Please enter valid Weight
Shoe Size
*Please enter valid Shoe Size
Event

*Please enter valid Event
High School Coach Name
*Please enter valid High School Coach Name
High School Coach Number
*Please enter valid High School Coach Number
High School Coach Email
*Please enter valid High School Coach Email
Club Team
*Please enter valid Club Team
Club Coach Name
*Please enter valid Club Coach Name
Club Coach Number
*Please enter valid Club Coach Number
Club Coach Email
*Please enter valid Club Coach Email
Event Times/Date/SCY or LCM
*Please enter valid Event Times/Date/SCY or LCM
50 Free
*Please enter valid 50 Free
100 Free
*Please enter valid 100 Free
200 Free
*Please enter valid 200 Free
500 Free
*Please enter valid 500 Free
1000 Free
*Please enter valid 1000 Free
1650 Free
*Please enter valid 1650 Free
100 Butterfly
*Please enter valid 100 Butterfly
200 Butterfly
*Please enter valid 200 Butterfly
100 Backstroke
*Please enter valid 100 Backstroke
200 Backstroke
*Please enter valid 200 Backstroke
100 Breaststroke
*Please enter valid 100 Breaststroke
200 Breaststroke
*Please enter valid 200 Breaststroke
200 IM
*Please enter valid 200 IM
400 IM
*Please enter valid 400 IM