Thank you for supporting girl's lacrosse by being an IGLA Coach and/or Ref!
The form below is used for communication & payroll.Please Note: Some questions are mandatory because we need the information for payroll and/or running background checks for adults.If you would prefer not to list your Social Security Number, please list as 999-99-9999 and IGLA will contact you to give over the phone.
All IGLA coaches and referees must agree to the terms and conditions of our IGLA PRIVACY POLICY Please click on the purple link above and read our policy carefully. In the form below you will be asked to check the box acknowledging the Terms of IGLA Privacy Policy have been accepted. Please complete and submit the form below. THANK YOU!
If you have any questions/concerns, please email Lynn, lynn@iglax.org
| Terms Of IGLA Privacy Policy Accepted (*) | Invalid Input | |
| First Name (*) | Invalid Input | |
| Middle Name (*) | Invalid Input | |
| Last Name (*) | Invalid Input | |
| Date of Birth (*) | Invalid Input | |
| Social Security Number | Invalid Input | |
| Address (*) | Invalid Input | |
| City (*) | Invalid Input | |
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| Please check box if this is a change in address | Invalid Input | |
| Cell Phone (for text alerts) (*) | Invalid Input | |
| Email (*) | Invalid Input | |
| Position | Invalid Input | |
| How many seasons have you been coaching/reffing IGLA? | Invalid Input | |
| Primary Coaching or Reffing Location | Invalid Input | |
