Langley Lacrosse Guest Coach Registration
Thank you for your interest in guest coaching with Langley Minor Lacrosse. If you have any questions, please contact

NOTE: this form is for Guest Coaches NOT for new or returning Coach applications (HC's or AC's) for box or field teams.
First Name *
Last Name *
Email address *
Phone number (cell) *
Who from Langley Lacrosse asked you to register? *
What Langley Lacrosse program are you guest coaching for? *
Your NCCP number or certification
Need to look it up? Go to and select "lookup my NCCP number"
Do you have a current CRC (within the last 3 years)? *
If you do not have a current CRC, go to and use code M84W5LMC6H to apply or contact for more information.
Additional Comments
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