Form | APEX Aquatic Club

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Tryout Form

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TRYOUT FORM

Gudian's Email (We wills contact to the email)

Phone

Swimmer's First Name

Birthday * required

Swimmer's Last Name

How old are you/swimmer?

Home Address (please write full address. ex: 4950 Riding Center Dr, South Riding, VA 20152)

Your home location:

School:

Which grade/year are you (swimmer) in?

County or City of the School: *

Loudoun County

Fairfax County

Is the swimmer able to swim 25 yards comfortably without stopping, support, or assistance? * Required

YES, she/he can

NO, she/he can't (Then, the swimmer does not meet the minimum requirement.)

Have ever joined a summer swim team? * Required

1 year

2 years

3 years and more

If yes, please write the summr team name:

Have ever joined a year-round swim team? *

1 year

2 years

3 years and more

4 years and more

if yes, please write the year-round team's name and location:

If you have joined a YEAR-ROUND Swim Team that is part of USA Swimming, how many days did you practice per week last season?

What is your favorite event, and its best time for Short Course Yards (SCY)? ex: 100 Free 1:15:28 (SCY)

What are your best times for 100 IM and 200 IM (SCY)? ex: 100IM (1:30.00) or 200IM (2:45.00)

Which group are you interested in registering for the current season? (Descripton in the websit) * Required

NOT sure

Swim School

Swim Stroke Clinic

Swim Team Prep

Swim Team

Adult Lap

APEX Masters

Small Group Lesson

Are you interested in morning practice? * Required

5am

6am

7am

8am

9am

How did you hear about our team? * Required

Saw our team practice

The team poster in the hallway

Swim Instructor

Facility's staff

USA Swimming Site

PVS website

Google

Referred by APEX Swimmers

Others

If you were referred by an APEX swimmer, please write the swimmer's full name, NOT the parent's. If NOT, please write 'N/A

Thank you! We'll be in touch.

Contact

First Name

Last Name

Phone Number

Leave us a message...

Thanks for submitting!

APEX Aquatic Support: Swim@apexaquaticclub.com
Tel: ‪601-803-APEX (2739)‬

Office Hours

Mon-Fri: 10:00AM to 5:30PM
Sat-Sun: Closed

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