If you are a high school student-athlete interested in swimming or diving at Pepperdine, please fill out the following and it will be e-mailed to the coaching staff.
Required fields in bold
Name
E-mail
Age
Date of Birth
Social Security Number (Last 4 Digits)
Graduation Year
Address
City & State
Zip Code
Home Phone
Father's Name and Occupation
Mother's Name and Occupation
Relatives or Friends at Pepperdine
High School or JC
City, State, Zip
GPA
Intended Major
SAT Score and Date Taken
ACT Score and Date Taken
Event(s)
Height
Weight
Club Team
Coach's Name
E-Mail Address
50 Free
100 Free
200 Free
500 Free
1000 Free
1650 Free
200 IM
400 IM
100 Fly
200 Fly
100 Breast
200 Breast
100 Back
200 Back
One Meter List
Three Meter List
Most Recent Meets/Scores (dates, meets, and links for verification)
Interest in Pepperdine: Extreme Moderate Low
Honors and Achievements
Athletic Honors