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 *
Email Address *
Street Address
Cell Phone
Work Phone
Home Phone
Briefly describe Lacrosse Experience: player / coach / official / other
Are you joining as a junior official *
Junior officials are less than 21 years old
Enter your US Lacrosse Number
If you have one
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?
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