Student Preferred First Name*
Student Last Name*
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…
2021-22 school year
2022-23 school year
Applicant for:*
Please Select…
Third Form (9th Grade)
Fourth Form (10th Grade)
Fifth Form (11th Grade)
Sixth Form (12th Grade)
Referred by
Water Polo Information
Current club team
Current school team
Throwing Arm
Right
Left
Years of experience, including current or upcoming season
1
2
3
4+
I have never played before
Height
Position(s)
Please list all positions played, in order of preference
Do you also swim competitively?
Yes
No
Please list your swimming events and top times for each event
Highlight Video URL
Additional Questions/Comments
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