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GLOA New/Interested Official's Registration

Thank you for your interest in becoming a GLOA Official.

Please complete the form below, and one of our association officers will contact you soon.

Note:  The GLOA is seeking officials for boys/men's lacrosse.  You must be over the age of 18 and cannot be a current high school student.


Contact Information:

First Name*
Last Name*:
Email Address*:

Home Phone: 
  Cell Phone:

* Required

Do you have experience with the game of lacrosse in the following areas:
Officiating:   Years: College
High School

Sub-HS/Youth
Coaching: Years: College
High School

Sub-HS/Youth
Playing: Years: College
High School

Sub-HS/Youth
What other sports have you officiated?
How many years experience do you have officiating other sports?


How did you hear about the GLOA?


Comments/Questions:




*Note: This information is collected for contact purposes only.  Your personal information will not be provided to any third party for any purposes.


Ron Mallonee
Kevin Moore












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