Old Dominion Aquatic Club
Tryout Information Form
Athlete's Name:
*
First Name
Last Name
Birth Date:
*
/
Month
/
Day
Year
Date
Current Age of Athlete:
*
Current Year in School of Athlete:
*
Parent Name:
*
First Name
Last Name
Home Address:
*
Street Address
Street Address Line 2
City
State
Zip Code
Cell Phone Number:
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email 1:
*
example@example.com
Email 2:
example@example.com
Old Dominion Aquatic Club offers two practice sites to service its members. The first practice site is Honey Bee Golf Course, while the second is the Great Bridge Swim & Racquet Club. Which site is your athlete's anticipated practice site?
*
What the athlete's previous swimming experience?
*
Appointment
Additional Comments
Official use Only
The ODAC coaching staff will fill out all boxes beyond this point.
Freestyle:
Backstroke:
Breastroke:
Butterfly:
Recommended Practice Group:
Submit
Should be Empty: