Genesee Valley Lacrosse Official’s Association Candidate Application
Please fill out the information below. Someone from the organization will contact you.

If you have additional questions please contact:
Steve Nims
Genesee Valley Lacrosse Official’s Association
New Officials training
Mobile phone (585) 775-5524
Name *
Your answer
Email Address *
Your answer
Street Address
Your answer
Your answer
Cell Phone
Your answer
Work Phone
Your answer
Home Phone
Your answer
Briefly describe Lacrosse Experience: player / coach / official / other
Your answer
Are you joining as a junior official *
Junior officials are less than 21 years old
Enter your US Lacrosse Number
If you have one
Your answer
Are you currently or have you been a member of any HS official’s sports associations: *
Have you been fingerprinted through the NYS SED (via school employment or BOCES) ? *
How did you hear about GVLOA?
Your answer
Are you registering for a specific clinic
If you are not, leave blank
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