2021 Rink Hockey Team USA Player Application

Event: 2021 Rink Hockey Pan American Nations Championship

Location: Florida

Dates: September 16-26, 2021

Restructured Team USA Selection Process

Process is only for the 2021 Rink Hockey Pan American Nations Championship

Due to the ongoing COVID situation and different state requirements the following selection process was proposed for selecting the 2021 Team USA Ladies, Senior and Junior divisions. This proposal has been approved by the Rink Hockey Committee.

Team USA will be selected at the 2021 Nationals in Cedar Rapids, Iowa.

Anyone wishing to be selected must be a USARS member in good standing with a valid USARS CARD.
Anyone wishing to be selected must fill out a 2021 Rink Hockey Team USA Player Application and submit it to the USARS office prior to July 9, 2021.

Exceptions to above process;
Should any division, Ladies, Senior or Junior, not have enough players tryout at the 2021 nationals’ players on national team rosters meeting the division requirements can be selected to fill the division.
Should the division still not be filled, players can then be selected from the applications received by the USARS office prior to July 9, 2021.

In the unlikely event the 2021 Nationals is canceled Team USA will be selected from applications that have been received by the USARS office prior to July 9, 2021.

Please click the link below for more information on this event and the selection process

https://www.teamusa.org/USA-Roller-Sports/2020/2021-Rink-Hockey-Pan-American-Nation

Name *

First Name Last Name

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Email *

example@example.com

Phone Number *

Area Code Phone Number

Date of Birth *

Gender

Height *

Weight *

Team Applying for- Please choose all that apply *

U-19 MEN SENIOR WOMEN SENIOR MEN

Position you play *

FORWARD DEFENSE GOALIE

Current Hockey Club you play for *

How many National Championships have you participated in? Please list years *

Did you participate in the 2019 National Championships in Spokane, WA? *

YES NO

What division(s) did you play in the last National Championships you participated in? *

Please list any National Championship awards you have won- Please list award and year *

Have you been a Team USA player before? If so please list what years and what divisions *

Please provide a statement on why you believe you would be an asset on this years team. *

Please attach your Hockey Playing/Hockey History Resume *

Browse Files

Please feel free to attach any training/game/skill videos that you think will help the Team Staff in your selection to the Team. Videos can include but are not limited to- stick and ball handling, hockey slides, passing/catching, and any highlight videos.