Prospective Athlete Form

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

Men's Water Polo Prospective Student-Athlete Form

Email address *

First name *

Last name *

Address 1 *

Address 2

City *

State *

ZIP Code *

Cell Phone Number

High School of Last Attendance *

State

City

High School Graduation Year

List current and previous college(s):

Are you currently enrolled and attending classes at another California Community College? *

Yes NO

ATHLETIC INFORMATION

Position

Height

Weight

Dominant Hand

Swim Times:

50 Free

100 Free

200 Free

* required field