Swimming Prospect Form


Attention Prospective Students: Please complete the following form with as much detail as possible. Double-check your contact information - this is the only way we can get in touch with you!

PERSONAL INFORMATION

Name:

Social Security:

Height:

Weight:

Birthdate:

Address:

City:

State:

Zip:

Phone:

Cell Phone:

Email:

Father:

Mother:

ACADEMIC INFORMATION

High School:

Phone:

Advisor:

GPA:

ACT Score:

SAT Score:

Graduation Date:

SWIMMING/DIVING INFORMATION

Club:

Club Coach:

Phone:

BEST TIMES

Click which one your times are in: SCY SCM LCM

Free:

50: 100: 200: 400:

500:   800/1000: 1500/1650:           

Back:

100: 200:

Fly:

100: 200:

Breast:

100: 200:

IM:

200: 400:

BEST DIVING SCORES

1M: 3M:




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