GRALOA Registration Form (2021)
YOU ARE NOT REGISTERED UNTIL THIS INFORMATION AND PAYMENT HAS BEEN RECEIVED.

2021 Calendar Year Registration Fees
- $0 Registration Fee (If you are a 1st Year Official)
- $20 Registration Fee (Returning Officials if Paid Before August 15th 2020)
- $40 Registration Fee (Returning Officials if Paid After August 15th 2020)

You have the option of paying through Paypal or by check...

Use this link to pay through PAYPAL
https://paypal.me/GRLacrosseOfficials?locale.x=en_US

IF you prefer to pay by check,
MAKE CHECKS PAYABLE TO: Grand Rapids Area Lacrosse Officials Association
MAIL PAYMENT TO:
GRALOA
PO Box 583
57 Courtland St
ROCKFORD MI 49341

PLEASE DO NOT MAIL CASH

Email address *
Name (First Name then Last Name) *
Address *
City *
ZIP Code *
Cell Phone Number *
Other Phone Number (If Available)
MHSAA# (Enter "NA" if not applicable) *
US Lacrosse # (Enter "NA" if not applicable) *
NASO # (Enter "NA" if not applicable) *
Years Officiating Boys Lacrosse *
Years Officiating Any Sport *
Years Playing Boys Lacrosse *
Years Coaching Boys Lacrosse *
Please provide payment details *
Provide Check Number if Paying By Check (Enter "NA" if paying via Paypal) *
A copy of your responses will be emailed to the address you provided.
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