WOW Swimmer Evaluation Request

Thank you for your interest in the Waves of Wilmington Swim Team. Please fill out the form below and a member of our staff will follow up with you at their earliest convience.

Primary Contact*

First NameLast Name

E-mail*

Phone Number

Number of Swimmers*

Best Way & Time(s) to Contact*

Name*

First NameLast Name

Age*

Gender*

FemaleMale

Swimming Experience*

No Competitive Swim Experience - Some Lesson ExperienceSome Competitive Swim Experience - Primarily Summer LeagueSome Competitive Swim Experience - Primarily High SchoolCompetitive USA Swimming Team Experience

Name of Program or Instructor*

Number of Years of Experience*

Approximate Date of my last lesson

Date

Summer League Team*

Number of Years of Experience*

My Favorite Events are....

My Last Meet Was

Date

High School Team*

Number of Years of Experience*

My Favorite Events & Times*

My Last Meet Was...

Date of that Meet

Date

Most Recent Club Team*

Number of Years of Experience*

Club Group*

Group Coach

My Times are mostly...*

My Last Meet Was...

Date

Name of Meet

Name*

First NameLast Name

Age*

Gender*

FemaleMale

Swimming Experience*

No Competitive Swim Experience - Some Lesson ExperienceSome Competitive Swim Experience - Primarily Summer LeagueSome Competitive Swim Experience - Primarily High SchoolCompetitive USA Swimming Team Experience

Name of Program or Instructor*

Number of Years of Experience*

Approximate Date of my last lesson

Date

Summer League Team*

Number of Years of Experience*

My Favorite Events are....

My Last Meet Was

Date

High School Team*

Number of Years of Experience*

My Favorite Events & Times*

My Last Meet Was...

Date of that Meet

Date

Most Recent Club Team*

Number of Years of Experience*

Club Group*

Group Coach

My Times are mostly...*

My Last Meet Was...

Date

Name of Meet

Name*

First NameLast Name

Age*

Gender*

FemaleMale

Swimming Experience*

No Competitive Swim Experience - Some Lesson ExperienceSome Competitive Swim Experience - Primarily Summer LeagueSome Competitive Swim Experience - Primarily High SchoolCompetitive USA Swimming Team Experience

Name of Program or Instructor*

Number of Years of Experience*

Approximate Date of my last lesson

Date

Summer League Team*

Number of Years of Experience*

My Favorite Events are....

My Last Meet Was

Date

High School Team*

Number of Years of Experience*

My Favorite Events & Times*

My Last Meet Was...

Date of that Meet

Date

Most Recent Club Team*

Number of Years of Experience*

Club Group*

Group Coach

My Times are mostly...*

My Last Meet Was...

Date

Name of Meet

I Would Like...

To schedule an evaluationTo Learn more about the program

Question(s) you would like answered?*

Additional Comments?

How did you hear about WOW?*

Just to make sure *

Contact Information

Swimmer Information

My Swim Lesson Information

My Summer League Information

My High School Swim Information

My USA Swimming Information

Swimmer Information

My Swim Lesson Information

My Summer League Information

My High School Swim Information

My USA Swimming Information

Swimmer Information

My Swim Lesson Information

My Summer League Information

My High School Swim Information

My USA Swimming Information

Addditional Information