Swim & Dive Recruits Contact Form

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Email address *

First name *

Last name *

Address 1 *

City *

State *

ZIP Code *

Cell Phone Number *

Parent(s) Name *

Parent(s) email *

SCHOOL INFORMATION

I am currently in ... *

Name of school attending

If in high school, please tell us ...

Graduation year, name and contact number/email for high school coach

If in college/not attending school, please tell us ...

High school attended, Graduation year, name and contact number/email for high school coach

Intended College Major *

ATHLETIC INFORMATION

Team *

Your events *

Personal best times/marks *

Have you competed on a club team? *

If yes, please tell us ...

Most recent team name, name and contact number/email for club coach

* required field