University of Wisconsin - Eau Claire Athletics

General Information

Your Name:
Address:
City:
State:	ZIP:
Country:
Area Code & Phone Number:
Email:

Swimming Background

High School Team:
Coach:
Coach's Area Code & Phone:
USS or YMCA Team:
Coach:
Coach's Area Code & Phone:
Yardage in a typical Workout:
Have you ever worked with weights?	Yes No

Events and Times

	Length	Stroke	Time/Score
Event 1:
Event 2:
Event 3:
Event 4:

Educational Information

Desired Major:
ACT and/or SAT Score:
High School Grad. Date:
High School GPA:
Class Rank:

Copyright © UW-Eau Claire Athletic Department
ALL RIGHTS RESERVED
Tim Petermann
Department of Kinesiology and Athletics
Last Updated: