LMCCOA Registration 2023-2024 Season
Please submit this form and payment no later than October 1st in order to be listed on the official LMCCOA membership roster recorded with MHSAA and given to all athletic directors.
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Last Name *
First Name *
Email Address *
Street Address *
City *
Zip Code *
Preferred Phone Number *
Number of years you have officiated? *
Do you officiate safety, panel or both? *
MHSAA ID Number *
Do you presently coach? *
If you presently coach, what level do you coach? *
Please check all that apply
Required
Did you attend 3 or more LMCCOA meetings during the 22-23 season? *
Please list any school affiliations you have that may present (or in the eyes of a spectator) APPEAR to present a conflict of interest. *
Please indicate how you will donate your $20 LMCCOA Dues *
Please mark your calendar for Saturday, January 27th as that will be the date of the annual LMCCOA Scholarship Meet being held at Byron Center! As a reminder, if you volunteer for the entire day you will receive 1 meeting credit. =) *
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