2015 Girl's Spring Lacrosse Umpire Training

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Minnesota Lacrosse Umpire Association (MLUA)
2015 UMPIRE TRAINING APPLICATION

New Adult (1st year) umpires and all Youth (both 1st year & returning) umpires will use this form to sign up for Girls Lacrosse Umpire Training for the upcoming 2015 spring season.

For youth-only umpires, the training cost is $50 and includes classroom & field session training by our highest ranked officials, a yellow referee T-shirt which you will wear for your youth games, and other required equipment (warning cards, yellow flag, whistle, pencil, scorecard). If you are a returning youth umpire and have all the supplies already, the training cost is $30.

For new adult umpires, the training cost plus your annual dues are $90 and includes everything listed above.

Send a check made out to "MLUA" for either $30, $50 or $90 to:

Fred Edstrom, MLUA Treasurer
3309 Highlands Road
Brooklyn Park, MN 55443

Also, if you play or coach lacrosse, please have your US Lacrosse number ready for fill-in on this form.

Please fill out the following questions so we have initial contact information needed to run the training sessions.

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* 1. Please enter name, address, email & cell phone number (or best way to get a hold of you). Please note, the email address should be one you can log into every day to review game assignments.

Name:

Address:

City/Town:

State:

ZIP/Postal Code:

Email Address:

Cell Phone Number:

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* 2. Please provide your date of birth. (For youth officials, this is to validate that you are at least 2 years older than the level of play you are officiating.)

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* 3. If you are under 18 years old, please provide emergency contact information & phone number.

Name

Home Phone Number

Cell Phone Number

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* 4. What are best ways to contact you for game assignments, training, special events, or other umpire-related activities?

Text message

Cell phone

Home phone

Work phone

Twitter

Facebook

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* 5. Do you play or coach lacrosse?

Yes

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* 6. If you play or coach lacrosse, for what team &/or community do you play or coach?

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* 7. If you play or coach lacrosse, what is your US Lacrosse membership number?

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* 8. If you play or coach lacrosse, does your email address on your US Lacrosse account match the email you listed above in Question 1?

Yes

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* 9. Do you officiate other sports? If so, what sports do you officiate and for how long?

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* 10. Have you umpired girl's lacrosse before?

Yes

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* 11. If you've umpired girl's lacrosse games before, how many seasons have you umpired?

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* 12. If you have umpired girl's lacrosse games before, on average how many games per season have you umpired?

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* 13. If you've umpired girl's lacrosse games before, what level of girl's lacrosse have you officiated?

Youth

High School

College

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* 14. If you will be a 1st/2nd year adult umpire or strictly a youth-only umpire, you are required to attend a 6-hour classroom training session to be certified for the 2015 season.

Please select your session(s) below:

SESSION #1 BEGINNERS Girl's Lacrosse Classroom Session, Sunday March 8, 9am-3pm, Benilde-St. Margaret's HS

SESSION #2 BEGINNERS Girl's Lacrosse Classroom Sessions , Tues March 31 & Thurs April 2, 6pm-9pm, Minnetonka HS

SESSION #3 BEGINNERS Girl's Lacrosse Classroom Sessions, Fri June 5, Sat June 6, 9am-1pm. Jefferson H.S. (Plus Field Training on Sun June 7, 9am-1pm.)

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* 15. If you are a 1st/2nd year umpire, you are also required to attend a 3-hr field training session. Please select below any & all field sessions that meet your availability.

YOUTH SESSION/NEW UMPIRE SESSION: Sat, March 14, 2015 @10am-2pm @Vadnais Hts Dome, 1490 County Road E East, Vadnais Hts, MN 55110

YOUTH SESSION/NEW UMPIRE SESSION: Sun, March 22, 2015 @7am-11am @West St. Paul Dome, 1655 Livingston Ave, West St Paul, MN 55118

RETURNING UMPIRE SESSION: Sat, April 4, 2015 @9am-12pm @Centennial High School, 4757 North Road, Circle Pines, MN 55014

RETURNING UMPIRE SESSION: Fri, April 10, 2015 @4pm-6pm, Eden Prairie High School, 17185 Valley View Road, Eden Prairie, MN 55346

YOUTH SESSION/NEW UMPIRE SESSION: Sat, April 11, 2015 @4pm-8pm @The Champions Hall, 7000 Washington Ave. South, Eden Prairie MN 55344

RETURNING UMPIRE SESSION: Sat, April 11, 2015 @8am-12:30pm @Cretin-Derham Hall, 550 S Albert Street, St. Paul, MN 55116

RETURNING UMPIRE SESSION: Sat, April 11, 2015 @9am-3pm @Benilde-St. Margaret's School, 2501 Highway 100 S, St Louis Park, MN 55416-1797

RETURNING UMPIRE SESSION: Sat, April 11, 2015 @2pm-5pm @Robbinsdale Armstrong High School, 10635 36th Avenue North, Plymouth, MN 55441

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* 16. Do you have any conflicts with making any of the above required training dates? If so, please provide comments below.

Yes

Other (please specify)

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* 17. Are you willing to travel outside of the area where you live to officiate in other parts of the metro, possibly 15-20 miles?

Note, if you are certifying to become an adult ref, some travel is expected outside your home or work area. We will try to keep the travel minimized. Thanks for your cooperation!

Yes

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* 18. When would you like to begin officiating girls lacrosse?

2015 Spring season (begins the beginning of April)

2015 Summer season (begins the beginning of June)

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* 19. Please provide any additional comments so we can schedule you during the 2015 girls lacrosse season.

Note, we use ArbiterSports to schedule games online. Setup information will be discussed at one of the classroom training session.

Question Title

* 1. Please enter name, address, email & cell phone number (or best way to get a hold of you). Please note, the email address should be one you can log into every day to review game assignments.

Question Title

* 2. Please provide your date of birth. (For youth officials, this is to validate that you are at least 2 years older than the level of play you are officiating.)

Question Title

* 3. If you are under 18 years old, please provide emergency contact information & phone number.

Question Title

* 4. What are best ways to contact you for game assignments, training, special events, or other umpire-related activities?

Question Title

* 5. Do you play or coach lacrosse?

Question Title

* 6. If you play or coach lacrosse, for what team &/or community do you play or coach?

Question Title

* 7. If you play or coach lacrosse, what is your US Lacrosse membership number?

Question Title

* 8. If you play or coach lacrosse, does your email address on your US Lacrosse account match the email you listed above in Question 1?

Question Title

* 9. Do you officiate other sports? If so, what sports do you officiate and for how long?

Question Title

* 10. Have you umpired girl's lacrosse before?

Question Title

* 11. If you've umpired girl's lacrosse games before, how many seasons have you umpired?

Question Title

* 12. If you have umpired girl's lacrosse games before, on average how many games per season have you umpired?

Question Title

* 13. If you've umpired girl's lacrosse games before, what level of girl's lacrosse have you officiated?

Question Title

* 14. If you will be a 1st/2nd year adult umpire or strictly a youth-only umpire, you are required to attend a 6-hour classroom training session to be certified for the 2015 season.Please select your session(s) below:

Question Title

* 15. If you are a 1st/2nd year umpire, you are also required to attend a 3-hr field training session. Please select below any & all field sessions that meet your availability.

Question Title

* 16. Do you have any conflicts with making any of the above required training dates? If so, please provide comments below.

Question Title

Question Title

* 18. When would you like to begin officiating girls lacrosse?

Question Title

* 19. Please provide any additional comments so we can schedule you during the 2015 girls lacrosse season.Note, we use ArbiterSports to schedule games online. Setup information will be discussed at one of the classroom training session.

* 14. If you will be a 1st/2nd year adult umpire or strictly a youth-only umpire, you are required to attend a 6-hour classroom training session to be certified for the 2015 season.

Please select your session(s) below:

* 19. Please provide any additional comments so we can schedule you during the 2015 girls lacrosse season.

Note, we use ArbiterSports to schedule games online. Setup information will be discussed at one of the classroom training session.