Athletes-On-Line Swimming          ID# 1001
                               Sport Sign-up Form

Name: ___________________________________________________ Class: _______________

School: _______________________________________ Coach: _________________________

School Address: ________________________________________________________________

City: _______________________________ State: _________ Zip Code: _______________

School Phone: (____)____-______ Fax: (____)____-______ EMail: __________________

GPA: ____________ ACT: ___________ SAT Math: ___________ SAT Verbal: ___________

NCAA Clearinghouse registered?  YES / NO    Gender:  Male  /  Female

Height: ____ft____in Weight: _____lbs     

Club Team:_______________________________ Club Coach:___________________________

                                   METERS

50m Freestyle:___________ 100m Freestyle:___________ 200m Freestyle:____________

400m Freestyle:__________ 800m Freestyle:___________ 100m Backstroke:___________

100m Butterfly:__________ 200m Butterfly:___________ 200m Backstroke:___________

100m Breaststroke:____________________ 200m Breaststroke:_______________________

200m Individual Medley:_______________ 400m Individual Medley:__________________


                                    YARDS

50yd Free Split:___________ 50yd Freestyle:__________ 100yd Free Split:_________

100yd Freestyle:___________ 200yd Freestyle:_________ 500yd Freestyle:__________

100yd Butterfly:______________________ 100yd Breaststroke:______________________

100yd Backstroke:_____________________ 200yd Individual Medley:_________________

                                   PROFILE

         List accomplishments or honors including Meets & Top Finishes

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