Cerritos College Men's Water Polo/Swimming Questionnaire

Email Secondary Email

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Email address *

Name *

Address *

City *

State *

Zip Code *

Home Phone Number *

Cell Phone Number *

Last High School Attended *

Year Graduated

City

State

Height/Weight *

Primary Water Polo Position *

Left-Handed or Right-Handed

Swimming - Best Events

Include distance and times

Water Polo and Swimming Club Experience *

Include name of club teams

Athletic/Academic Accomplishments

How did you hear about Cerritos College? *

Include your You Tube link (if applicable)

* required field