2025 Provincials / Nationals Officials Application - Box Lacrosse
2025 BC Lacrosse Officials Technical Support Group Application Form for Minor and Senior Box Lacrosse Provincials & Nationals
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Email *
Name *
Date of Birth *
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DD
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YYYY
Mailing Address *
City *
Postal Code *
2025 Box Lacrosse Certification Level *
Date of Last Clinic Attended *
MM
/
DD
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YYYY
Secondary email (if applicable)
Phone Number XXX-XXX-XXXX
 *
Minor Association (if affiliated)  
For which of the following minor provincials are you applying (must be available for entire tournament)?
You may select multiple. See back page of 2025 BCLOG Handbook for age requirements and other information.
For which of the following minor nationals are you applying (must be available for entire tournament)?
You may select multiple. See the back page of the 2025 BCLOG Handbook for age requirements and other information.
For which of the following senior provincials are you applying?
Must be a senior referee to apply (L3 minimum)
For which of the follow senior regional or nationals are you applying?
Must be a senior referee to apply (L3 minimum along with other requirements for each league)
Officiating Experience - Box Lacrosse: Please detail any previous regional, provincial, national or international experience you have, including major tournaments or other events, that you have attended (including years attended) *
Officiating Experience  - Administration: Please detail any administrative experience that you have had including, formal positions held (e.g. OIC), Teaching Clinics, Supervisory and other program related experience *
Are you interested in being an OiC for one of these tournaments - if so, please indicate which ones.
Please provide the name of an officiating reference including their email and phone number *
Is there any other information you would like to add? Note, shortlisted applicants may be asked to submit a lacrosse resume with more detail and may be contacted for interviews by OICs. Deadline for submission is May 15. Any questions can be sent to Doug Wright, Chair, BCLOTSG at dwrightbcloa@gmail.com
I hereby certify that to the best of my abilities, the information that I have provided in this application, is true and accurate. *
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