Your Personal Information
= Required Field
First and Last Name
Address
City and State
Zip Code
Home Phone
USAS Registration #
Email Address
Academic Information
High School
Graduation Date
(mm-dd-yy)
Overall GPA
(on 4.0 scale)
Class Rank
Number in Class
Areas of
Academic Interest
in High School
Academic Honors
Extracurricular
Activities
College Goals
(degree, activities, etc.)
High School and MVS Information
H.S. Swim Coach
H.S. Coach's Phone
MVS Swim Club
(select one)
Adair Swim Association (ASA) Arkansas City Manta Rays (ARK) Atchison YMCA Swim Club (ATCH) Belton Swim Team (BELT) Blue Springs Swim Parents Club (BSS) Blue Wave Swim Team (BWST) Bonner Springs Swim Club (BSSC) Boonville Marlins (BVMR) Brooktree Swim Team (BTST) Burlington Aquatics Club (BAC) Butler Torpedoes (BTT) Cass County Aquatics (CCA) Chisholm Trail Swim League (CTSL) City of Mission Swim Team (CMSC) ClayPlatte YMCA Blue Wave (CPYM) Clayview Country Club (CL) Columbia Aquatics (CA) Columbia Swim Club (CSC) Community Of Olathe Swim Club (COOL) Country Club Of Blue Springs (CCBS) Coves Swim Team (CO) Derby Swim Club (DSC) El Dorado Swim Club (EDSC) Emporia Aquatic Club (EAC) Fort Leavenworth Lancers (FTLL) Golden Valley Swim Club (GVSC) Grand River YMCA Gators (GRYG) Great Plains Swim League (GPSL) Harrisonville Aquacats (HST) Haysville Summer Swim Club (HVSS) Haysville Swim Club (HVSC) Hills Of Waldon Swim Team (HWH) Homestead Country Club Swim Team (HCC) Hutchinson Y Swim Club (HYSC) Jasper County Aquatics (JCA) Jasper County Killer Whales (JCKW) Jefferson City Area YMCA (JCAY) Jewish Community Center Jets (JCC) Kansas City Blazers (KCB) Kansas City Storm (KCST) Kansas City Swim Academy (SA) Kansas Swimming (KS) Kaw Valley Swim League (KVSL) Kaw Valley Swimming Tortugas (KVS) Kearney Swim Club (KSC) Kirksville Tigersharks (KTS) Lawrence Aquahawks (LAW) Leawood Country Club Swim Team (LCC) Leawood Lightning Swim Team (LST) Liberty Hills Country Club (LHCC) Loch Lloyd Country Club (LLCC) Louisburg Swim Club (LBSC) Manhattan Marlins (MM) McPherson Swim Club (MSC) Meadowbrook Country Club (MCC) Mid America League (MAL) Mid-America Swim Parents Assoc (MASP) Mid-Missouri Aquatic Club (MMAC) Missouri Athletic Center Swimming (MAC) Missouri State Aquatics (MSA) Missouri Swim Stars (STRS) MIZZOU (MIZ) MIZZOU Swim Team (MIZZ) Mo. So. St. College Sea Lions (MSSC) Mo-Kan Swim League (MOKA) New Mark Swim Team (NM) Nicklaus Golf Club Swim Team (NGCS) Northland Swim & Dive Conf (NSC) Northland United Swim Team (NLU) Northwest Swim Team (NWST) Oak Grove Swim Club (OGSC) Olathe Aquatic Association (OLA) Old Pike Country Club Swim Tm (OP) Ottawa Swim Club (OTT) Paola Swim Club (PSC) Parsons Dolphins (PARS) Pittsburg YMCA Swim Team (PITT) Pleasant Hill Dolphins (PHD) Pony Express Swim Team (PEST) Raytown Riptide (RR) Red Bridge YMCA (RBY) Riss Lake Swim Team (RISS) Salina Aquatics Club (SAC) Salt Fork Manta Rays (SFY) Santa Fe Trail Blazers Parents (TRB) Sherwood Swim Team (SH) South Suburban Swim League (SSSL) Southwest Missouri Otters (SWMO) Southwest Missouri State Univ (SMSU) Spirit of Kansas City (KCSP) Springfield Aquatics (SPA) Stingrays (STRY) Suburban Municipal Swim League (SMSL) Swim Harrisonville (SWHR) Swim Independence (SI) Swim Newton (NWSC) Team Dolphins (TD) Thousand Oaks Swim Team (TOST) Tiger Shark Swim Team Club (TSS) Topeka Swim Association (TSA) Topeka Team Torpedo (T3) Trident's Swim Team (WACT) Truman Aquatics (TRMN) Tsunami Swim Team of K.C. (TST) Twin River Club (TRC) University Of Kansas (KU) Valley Center Purple Wave (VCSC) Walnut Creek Swim Team (WC) Wamego Swim Team (WAM) Warrensburg Swim Team (WRN) Wellington Swim Team (WELL) West Wichita YMCA Barracudas (WWYB) Western Kansas Swim Club (WKSC) Wichita Aqua Shocks (WAS) Wichita Northwest Y Neptunes (WNYN) Wichita Swim Club (WSC) Winfield Swim Club (WIN) Woodside Racquet Swim Team (WRST) YMCA Swim Fins (FINS)
Unattached, Missouri Valley (UNAT)
MVS Coach
MVS Coach's Phone
List Your 5 Best Swimming Events Below
Event # 1
Event
Time SCY SCM LCM
Event # 2
Event
Time SCY SCM LCM
Event # 3
Event
Time SCY SCM LCM
Event # 4
Event
Time SCY SCM LCM
Event # 5
Event
Time SCY SCM LCM
Other Honors and Helpful Information
Athletic Honors
Other Sports Played
Other Comments
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