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SOWLUA Membership 2015
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Zip Code
*
Your answer
Street Address
*
Your answer
City, State
*
Your answer
Phone Numbers
Please list at least one phone number.
Cell Phone
Your answer
Home Phone
Your answer
Work Phone
Your answer
Email Address
*
Your answer
Secondary Email Address
Your answer
Birth Date
*
Your answer
US Lacrosse Membership Number
*
Your answer
Current Umpire Rating
*
See SOWLUA website for current rating
New (no rating yet)
Junior ( all umpires 18 and Under)
Youth
Apprentice
Local
District
National
Affiliation
*
Please indicate any connection you may have to a school as one of the following:
None
Coach
Player
Parent
Other:
Required
School
Please indicate the school with which you have an affiliation
Your answer
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