LRFOA - Membership Application - 2022
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Email *
PERSONAL INFORMATION
First Name *
Last Name *
Current Address
Street Address *
Street Address Line 2
City *
State / Province *
Phone Number *
SSN#
Date of Birth *
MM
/
DD
/
YYYY
OFFICIATING EXPERIENCE
Please Check Which Applies *
Varsity High School Football Experience *
Primary Position (5-Man) *
Secondary Position (5-Man) *
Primary Position (4-Man) *
Previous Official Association
Previous Association - Contact First Name
Previous Association - Contact Last Name
Previous Association - Phone Number
Previous Association - Email Address
Other Sports Officiated
High School Attended *
Year Graduated *
Additional Information
Answers WILL NOT automatically disqualify you from working for LRFOA. The LRFOA Board of Directors reserve the right to make decisions concerning eligibility based on LRFOA and FHSAA guidelines and safety
Do you have kids that attend school *
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