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******************* EDUCATION ******************

Undergrad degree  [  ]    Undergrad sci degree or ex sci   [  ]

Graduate degree  [  ]    Graduate science or ex sci degree   [  ]

***************** CERTIFICATIONS ****************

F.I.S.T certified  [  ]    Serrotta certified   [  ]

USAT level 1  [  ]    USAT level 2    [  ]   USAT level 3   [  ]

USA Cycling level 1  [  ]    USA Cycling level 2    [  ]

USA Swimming level 1  [  ]    USA Swimming level 2    [  ]


**************** SERVICES OFFERED ***************

Regular group swim workouts on pool deck  [  ]   

One-on-one swim instruction on pool deck  [  ]

Local fitting  [  ]                  

Regular track workouts in person  [  ]

Online coaching  [  ]

***************** LOCATION ****************

What we have before, plus:

Outside the United states [  ]

--<<< OTHER FIELDS FOR COACHES AND COACHES TO FILL OUT WOULD BE >>>--

Street address
Street address two
City
State
Zip
Phone
Fax/alt phone
Email
Website

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