Create a New US Lacrosse Certificate

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We are currently working on a new system for Certificates. It is important to note that at that time you will be required to enter your US Lacrosse Member # or the US Lacrosse ID #.

Your Information

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Certificate for:
Important Note: Coaches must be registered as such in the appropriate category for coverage to apply.
Certificate is for: Team or League Requiring 100% Membership for players and coach members
Camp, Clinic or Tournament with 100% US Lacrosse Membership for players and coach members
US Lacrosse Chapter Event players and coach members
Coaches/Officials/Assignor Association with 100% Lacrosse Members
Choose a Policy Period 1/1/2020 to 1/1/2021
1/1/2021 to 1/1/2022
Organization/Event Name:

Your Name
Your E-mail
E-mail confirmation
Your Phone
US Lacrosse ID #
Lookup US Lacrosse ID #

Your Address
Your Address 2
Your City
Your State
Your Zip Code

Create a New US Lacrosse Certificate

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