Gold medal clubs

Longhorn Aquatics 47,056
North Baltimore Aquatic Club 32,976 Irvine Novaquatics Swim Team 30,271 Curl-Burke Swim Club 24,570
KING Aquatic Club 23,046
Swim Atlanta 22,913
Mecklenburg Aquatic Club 21,934
Terrapins Swim Team 19,646
Germantown Academy Aquatic Club 18,985
Mission Viejo Nadadores 18,518
Tacoma Swim Club 18,470
Cincinnati Marlins 17,203
Lakeside Swim Team 16,825
New England Barracudas 15,583
NOVA of Virginia Aquatics 14,581
Dynamo Swim Club 14,206 
The following clubs were previously designated Gold Medal Clubs for the 2005-2008 Quadrennium:
Fort Worth Area Swim Team
Kansas City Blazers
Lake Erie Silver Dolphins
Nashville Aquatic Club
Pilot Aquatic Club of Knoxville
Raleigh Swimming Association
Tucson Ford Dealers Aquatics
Wichita Swim Club 

Silver Medal clubs

Scottsdale Aquatic Club 13,946
Arden Hills Swimming 13,629
Sun Devil Aquatics 13,449
North Coast Aquatics 12,613
FAST Swim Team 12,133
Dallas Mustangs 11,497
Anderson Barracudas/M.E. Lyons YMCA 11,461
Cypress-Fairbanks Swim Club 11,417
Santa Clara Swim Club 10,573
Blue Tide Aquatics 10,319
The Woodlands Swim Team 10,315
Washington Township Swim Club 9,479
Team Foxjet 8,852
Tualatin Hills Swim Club 8,842
Sierra Marlins Swim Team 8,793
Asphalt Green Unified Aquatics 8,023
Greensboro Swimming Association 7,966
Bulldog Aquatic Club 7.902
New Trier Swim Club 7,856
Orinda Aquatics 7,841
West Shore YMCA 7,216
Green Terror Aquatic Club 7,098
Parkway Swim Club 7,097
Greenwood Memorial Swim Club 7.093
Southern Crescent Aquatic Team 6,950
Issaquah Swim Team 6,933
Birmingham Swim League 6,888
Stingrays 6,871
University of Denver Hilltoppers 6,870
Oakland Live Y’ers 6,810
Palo Alto Stanford Aquatics 6,801
WAVES Bloomington-Normal YMCA 6,312
Long Island Aquatic Club 6,279
Marlins of Raleigh Swim Team 6,278
Scarlet Aquatic Club 6,243 
Clayton Shaw Park Tideriders 6,032
Wilton Y Wahoos 6,032
Bakersfield Swim Club 5,900
The FISH 5,545
Eastern Express Swimming 5,356
Middies Swimming 5,293
Lake Forest Swim Club 5,275
Northern Kentucky Clippers 5,223
Excel Aquatics 5,217
Silicon Valley Aquatic Association 5,175
New Wave Swim Team 5,142
Tampa Bay Aquatics 4,548 
Gulf Coast Swim Team 4,528
YMCA of the Triangle Area Swim Team 4,491
Pleasanton Seahawks 4,438
Katy Aquatics 4,389
North Carolina Aquatic Club 4,354
Tar Heel Aquatic Team 4,328
Three Village Swim Club 3,753
Washington Township Sharks 3,644
Santa Rosa Neptunes 3,639
Maverick Swim Club 3,608
Attleboro Bluefish Swim Club 3,581
Circle City Aquatics 3,575
Valley Area Swim Team 3,573
El Dorado Aquatics Club 3,547
Brea Aquatics 3,536
Marietta Marlins Inc 3,531
Scout Aquatics 3,457
Poseidon Swimming Inc 3,387
Naperville Riptide Swim Team 2,680
Baylor Swim Club 2,675
Eagle Swim Team 2,674
Trident Swim Club 2,659
Winston-Salem YMCA Swim Team 2,625
Canyons Aquatic Club 1,834
Team Greenville 1,787
Crawfish Aquatics 1,741
Shawmut Aquatic Club 1,739
Hillsboro HEAT Swim Team 1,684
Waukesha Express Swim Team 889
Palatine Park District Tiger Sharks 856
Columbia Swim Club 0
Cottonwood Heights Aquatics Team 0

Bronze medal clubs

Lake Country Swim Team 8,616
Salmon Bay Aquatics 5,205
Jersey Wahoos 4,287
First Colony Swim Team 3,523
Kamehameha Swim Club 2,546
Firestone Akron Swim Team 1,825
Yorktown Swim Club 1,772
Central Indiana Aquatics 1,734
Team New Tampa YMCA 1,718
Newburgh Sea Creatures 1,711
Alamo Area Aquatic Association 1,689
City of Richardson Swim Team 1,688
Arlington Aquatic Club 862
Newburgh Sharks 849
Schroeder YMCA Swim Team 848
Tri-City Channel Cats 828
Carmel Swim Club 0
Coast Guard Blue Dolphins 0
Des Moines Swimming Federation 0
Greater Toledo Aquatic Club 0
Old Dominion Aquatic Club 0
Rockwood Swim Club 0
Scenic City Aquatic Club