Diving Questionnaire

 

Personal Information:

Name:         Parents/Guardians' Names:  

Gender:           Birth date:

Home Address:   City:  

                State:        ZIP:

Home Phone:          e-mail:    

Cell Phone:       

High School:          Graduation Year:

Coach:     Coach's e-mail:

Academic Information:

Desired Major:    

CGPA:      SAT: (CR)     (M)     ACT:

Class Rank: out of       Advanced Courses Taken:

Athletic Information:

Height:     Weight:      

Typical Practice Hours:     Dryland Experience:

Best Diving List:

One Meter:
  Front Back Inward Reverse Twist Optional
6 dives
11 dives  
Three Meter:
  Front Back Inward Reverse Twist Optional
6 dives
11 dives  

Previous Diving Experience / Awards:

                

List All Additional Extra-Curricular Activities: