Please fill out the following questionnaire
Click the SAVE button below when you're done.
Please use the TAB key to advance to the next field.
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Please be sure to fill out all required fields:
First Name, Last Name, Select School, H.S. Grad Year (e.g. 2014)

 

Personal Information
 
Grad Year:
Gender?
Swim or Dive?
Your Name:
First Middle Last
Preferred Name:
Street Address:
City:
State / Zip:
Country:
Date of Birth:
Month Day Year
Email Address:
Home Phone:
Cell Phone:
Please State Any Personal Connection To Miami (Ex. Brother Attended):
Interest Level In Miami
 

Parent's Information
 
Mother's First Name:
Mother's Last Name:
Mother's Job:
Mother's Work #:
Brothers/Sisters (Ages):
Father's First Name:
Father's Last Name:
Father's Job:
Father's Work #:
 

Academic Information
 
Please use the SELECT SCHOOL Button to choose your school.
School Type:
School Name:
School Address:
School City:
School State / Zip:
School Country:
School Phone #:
School Fax #:
H.S. Scholastic Honors, Awards, Scholarships, etc:
Other H.S. Activities - Sports, Clubs, Hobbies, etc:
GPA:
Scale Of:
SAT Total:
SAT Math:
Writing:
Critical Reading:
ACT:
Class Rank /Out Of:
Academic Interest:
Academic Goals:
 

HS/Prep Athletic Info
 
Coach's First Name:
Coach's Last Name:
Coach's Office #:
Coach's Home #:
Coach's Cell #:
Coach's Email:
H.S. Website:
 

USS/YMCA Athletic Info
 
USS/YMCA Swim Club:
Coach's First Name:
Coach's Last Name:
Club Website:
Years With Club:
Coach's Office #:
Coach's Home #:
Coach's Email:
 

Swimming Info
 
High/Prep School Swimming Achievements, Honors, Awards (All-State, All-American, Captain, MVP, etc.):
Please State Injury History Including Nature, Length, Rehabilitation:
Height:
Weight:
Wing Span: (in inches just numbers)
Shoe Size: (numbers only)
What Are Your Athletic Goals?
 

Swimming Event/Time Info
 
Distance 1:
Event 1:
Course 1:
Time 1: : .
Date 1:
Location 1:
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Distance 2:
Event 2:
Course 2:
Time 2: : .
Date 2:
Location 2:
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Distance 3:
Event 3:
Course 3:
Time 3: : .
Date 3:
Location 3:
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Distance 4:
Event 4:
Course 4:
Time 4: : .
Date 4:
Location 4:
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Distance 5:
Event 5:
Course 5:
Time 5: : .
Date 5:
Location 5:
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Distance 6:
Event 6:
Course 6:
Time 6: : .
Date 6:
Location 6:
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Distance 7:
Event 7:
Course 7:
Time 7: : .
Date 7:
Location 7:
Distance 8:
Event 8:
Course 8:
Time 8: : .
Date 8:
Location 8:
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Distance 9:
Event 9:
Course 9:
Time 9: : .
Date 9:
Location 9:
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Distance 10:
Event 10:
Course 10:
Time 10: : .
Date 10:
Location 10:
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Distance 11:
Event 11:
Course 11:
Time 11: : .
Date 11:
Location 11:
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Distance 12:
Event 12:
Course 12:
Time 12: : .
Date 12:
Location 12:
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Distance 13:
Event 13:
Course 13:
Time 13: : .
Date 13:
Location 13:
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Distance 14:
Event 14:
Course 14:
Time 14: : .
Date 14:
Location 14:
 

If you are a swimmer only and have completed this questionnaire please click the save button.

 

Dives and Scores
 
Optional Dives: 1 Meter: Specify Dive and Position
Dive 1:
Dive 2:
Dive 3:
Dive 4:
Dive 5:
Dive 6:
Optional Dives: 3 Meter: Specify Dive and Position
Dive 1:
Dive 2:
Dive 3:
Dive 4:
Dive 5:
Dive 6:
Optional Dives: 10 Meter: Specify Dive and Position
Dive 1:
Dive 2:
Dive 3:
Dive 4:
Dive 5:
Dive 6:
Dives You Are Working On:
Best Finish Section For Diving:
 

When you have completed this questionnaire please click the save button.