Questionnaires

Fields marked with * are mandatory
General
 *
*Please enter valid First Name
 *
*Please enter valid Last Name
*Please enter valid Email Address
*Please enter valid Home Address1
*Please enter valid Home Address2
*Please enter valid City
*Please enter valid State
*Please enter valid Zip
*Please enter valid number
*Please enter valid number
*Please enter valid May we text you?
*Please enter valid Date of Birth
*Please enter valid Gender (Male/Female)
Background
*Please enter valid Mother's Name
*Please enter valid Mother's Phone
*Please enter valid Mother's Email
*Please enter valid Father's Name
*Please enter valid Father's Phone
*Please enter valid Father's Email
*Please enter valid Siblings
Academic
*Please enter valid number
*Please enter valid High School
*Please enter valid Counselor's Name
*Please enter valid Counselor's Phone
*Please enter valid Counselor's Email
*Please enter valid Class Rank
*Please enter valid GPA
*Please enter valid number
*Please enter valid number
*Please enter valid number
*Please enter valid number
*Please enter valid number
*Please enter valid SAT II (i)
*Please enter valid SAT II (ii)
*Please enter valid Academic Honors
*Please enter valid Intended Major
*Please enter valid Other College Choices
*Please enter valid NCAA Eligibility #
Athletic
*Please enter valid Height
*Please enter valid Weight
*Please enter valid Number of years of competitve swimming
*Please enter valid Number of months per year spent swimming
*Please enter valid Number of practices per week
*Please enter valid Hours of practice per day
*Please enter valid Name of Club Coach
*Please enter valid Club Coach Phone Number
*Please enter valid Club Coach Email Address
*Please enter valid Name of Club Team
*Please enter valid Name of High School Coach
*Please enter valid High School Coach Phone Number
*Please enter valid High School Coach Email Address
*Please enter valid Event(s)
*Please enter valid Best Times (please indicate Y-YDS, S-SCM, L-LCM)
*Please enter valid 50 Free
*Please enter valid 100 Free
*Please enter valid 200 Free
*Please enter valid 500 Free
*Please enter valid 1000/800 Free
*Please enter valid 1650 Free
*Please enter valid 50 Fly
*Please enter valid 100 Fly
*Please enter valid 200 Fly
*Please enter valid 50 Back
*Please enter valid 100 Back
*Please enter valid 200 Back
*Please enter valid 50 Breast
*Please enter valid 100 Breast
*Please enter valid 200 Breast
*Please enter valid 200 IM
*Please enter valid 400 IM
*Please enter valid 1M
*Please enter valid 3M
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.
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