Swimming and Diving

Email address *
First name *
Last name *
Address 1 *
Address 2 *
City *
State *
ZIP Code *
Cell Phone Number *
Date of Birth
Gender
Graduation Year *
High School *
High School City *
High School State *
Counselor Name *
Counselor Email *
Counselor Phone *
High School Coach
High School Coach Phone
Club Team
Club Coach Name
Club Coach Email
Club Coach Phone
Height
Weight
Athletic Awards and Honors
Anticipated Major
Grade Point Average
Class Rank
Cumulative SAT Score
Cumulative ACT Score
Senior Courses
Honors AP IB
Academic Honors
Other Colleges
Father Name
Father Occupation
Father College
Father Email
Father Cell
Mother Name
Mother Occupation
Mother College
Mother Email
Mother Phone
Financial Aid
Visited
SCY Free 50 Time/Year
LCM Free 50 Time/Year
SCY Free 100 Time/Year
LCM Free 100 Time/Year
SCY Free 200 Time/Year
LCM Free 200 Time/Year
SCY Free 400 500 Time/Year
LCM Free 400 500 Time/Year
SCY Free 1000 Time/Year
LCM Free 1000 Time/Year
SCY Free 1500 1600 Time/Year
LCM Free 1500 1600 Time/Year
SCY Breast 100 Time/Year
LCM Breast 100 Time/Year
SCY Breast 200 Time/Year
LCM Breast 200 Time/Year
SCY Fly 100 Time/Year
LCM Fly 100 Time/Year
SCY Fly 200 Time/Year
LCM Fly 200 Time/Year
SCY Back 100 Time/Year
LCM Back 100 Time/Year
SCY Back 200 Time/Year
LCM Back 200 Time/Year
SCY IM 200 Time/Year
LCM IM 200 Time/Year
LCM IM 400 Time/Year
SCY IM 400 Time/Year
1 M 6 Dives
1 M 11 Dives
3 M 6 Dives
3 M 11 Dives
* = required field