Swimming Athlete Credentials

Please fill out the form and submit. Fields marked with an * are required.

*Name *Gender: | *DOB:
*Last Name *Email Address:
*Address *City: *State:  *Zip:
   
Father's Name: Occupation:
Mother's Name: Occupation:
 
High School Information
High School:
Address: City: State: Zip:
Counselor:
  Email: Phone#:
 
Graduation Year: GPA: School Rank: ACT:  SAT:
  Eligibility Center:
   
Athlete Statistics
Height Weight Weight Training Dryland Training
Stroke Distance Course Time/ Time/ Time/
 
 
HighSchool Coach: Office Phone:
Email: Cell Phone:
Coach's Comments
Club Coach: Office Phone:
Email: Cell Phone:
Coach's Comments