Student Preferred First Name*
Student Last Name*
Gender*
Female
Male
Preferred Email*
Student's Birthday*
Student's Current School*
Parent/Guardian Name*
Address 1*
Address 2
City*
State
Zip
Country*
Cell Phone Number*
Boarding or Day Student?*
Boarding
Day
Desired Year of Entry*
Please Select…
2020-21 school year
2021-22 school year
Applicant for:*
Please Select…
Third Form (9th Grade)
Fourth Form (10th Grade)
Fifth Form (11th Grade)
Sixth Form (12th Grade)
Referred by
Swimming and Diving Information
Current school team
Current winter or club team
Are you a registered USA swimmer?
Yes
No
Please list each event in which you compete and your best performance in that event
*Please indicate whether each distance is meters or yards, and short or long course
Additional Questions/Comments
Please send a confirmation email to the address below: