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First Name
*
Your answer
Last Name
*
Your answer
Address
*
Street address
Your answer
City
*
Your answer
State
*
two-letter abbreviation
Your answer
Zip
*
5-digits only
Your answer
Mobile Phone
xxx-xxx-xxxx (if you do not have a mobile phone, then leave this field blank)
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Email Address
*
Only your preferred email address
Your answer
Are you currently certified as a lacrosse official by USA Lacrosse?
*
Select only one of the choices
No
Level 1
Level 2
Level 3
College or higher
US Lacrosse Membership ID Number
Leave this blank if you do not have one or do not know it
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Academic Grade Level (current or upcoming)
*
We ask for this information because officials who are still in high school or recently graduated have limitations on what level games they can officiate
Already graduated from high school
High school senior
High school junior
High school sophomore
High school freshman
Younger
Lacrosse Playing Experience
*
Please let us know if you have experience playing lacrosse. Check all that apply.
Played professional or international lacrosse
Played post-collegiate club league lacrosse
Played college lacrosse
Played high school lacrosse
Played youth lacrosse
None
Required
Lacrosse Coaching Experience
*
Please let us know if you have experience coaching lacrosse. Check all that apply.
Coached professional or international lacrosse
Coached post-collegiate club team
Coached college lacrosse
Coached high school lacrosse
Coached youth lacrosse
None
Required
Officiating experience
*
Please let us know if you have officiating experience, lacrosse or otherwise. Check all that apply.
Officiated lacrosse (any level)
Officiated another college or post-college sport
Officiated another high school sport
Officiated another youth sport
None
Required
Other information
Please share anything else about your interest in officiating or any comments you have for us.
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