Create a New US Lacrosse Certificate

There was a problem with your submission.

Errors have been highlighted below.

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 either your US Lacrosse Member # or the US Lacrosse Group ID. If you do not have a group id, please visit www.USLacrosse.org/program-leaders/getting-started and set up your organization.

Your Information

Please enter your information below.

Certificate for:
Certificate is for: Team or League Requiring 100% Membership
Camp, Clinic or Tournament with 100% US Lacrosse Membership
U.S. Lacrosse Chapter Event
Choose a Policy Period 1/1/2019 to 1/1/2020
Organization/Event Name:

Your Name
Your E-mail
E-mail confirmation
Your Phone
US Lacrosse Member # or US Lacrosse Group ID #
*Lookup US Lacrosse Individual Member Number
*Lookup US Lacrosse Group Id Number

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

Create a New US Lacrosse Certificate

There was a problem with your submission.

Your Information

Toll Free:

Fax: