Cerritos College Women's Swimming Questionnaire

Email Secondary Email

There are errors with your form submission. Please review and submit again

Email address *

Name *

Address *

City *

State *

Zip Code *

Phone Number *

High School Last Attended *

Year You Graduated

City *

State *

Name of League *

Ex: San Gabriel Valley, Suburban, etc.

High School Coach's Name *

High School Coach's Contact Info

Phone Number or Email Address

Club Team Name

Include coach's name and contact info

Athletic/Academic Accomplishments

Ex: All-League, All-CIF, All-American, Team Awards

Best Times of Events You Swim *

50 Free, 100 Free Best Times

* required field

Cerritos College Athletics