Please use this form to request the services of GLOA Officials for non-GHSA
lacrosse events, such as local and regional tournaments, non league games,
etc.
Note: A
minimum of 30 (thirty) days' notice is required for submitting a
request for officials. Any submissions received with less than
30 days' notice may not be covered. Submitting the form does not
guarantee that the GLOA will accept the games.
Event Type*:
If this is a tournament, is the schedule completed?
Yes
No
Primary Contact
Secondary Contact
Name*:
Phone Number*:
Email Address*:
Name:
Phone Number:
Email Address:
Billing Contact
Name*:
Phone Number*:
Email Address*:
Comments:
Mailing Address:
(Line 1)*
(Line 2)
City*:
State*:
Zip Code*:
Site/Location and Game Information:
Approximate Total Number
of Games*:
Length of Games*:
Running Clock:
YesNo
Number
of Officials
Per Game*:
Will
games be played with regulation NFHS rules, or will there be modified
rules?*
StandardModified
If modified rules are in effect, please
provide details:
General
Information Please provide detailed information on the teams
participating in the event, the sites, ages and ability level of
players, or any other relevant information or specific conditions:
By submitting this form, you agree to the following:
I am authorized to make this
request on behalf of my organization. On behalf of my
organization, we agree to abide by all
GLOA policies related to
scheduling of officials for Non-GHSA games. I understand that this request may not
be filled, and I will be notified by a GLOA assignor as soon as
possible if there are problems or questions with this request..
Name:
Phone Number:
Email Address:
I/we agree to abide by the terms and
conditions set forth in the GLOA Policies for Scheduling Officials.
Yes
