2023 USARS Rink Hockey National Championships- Team Entry Form

2023 USARS Rink Hockey National Championships- Team Entry Form

Lubbock, TX- July 29- August 4- Lubbock Civic Center
Event Website- https://www.usarollersports.org/events/2023/july/29/2023-rink-hockey-national-championships

ONLY ONE (1) TEAM MAY ENTER PER FORM.

ENTRY FEE - $550 PER TEAM FOR UP TO TEN (10) PLAYERS.

TEAM REGISTATION DEADLINE – RECEIVED BY JULY 5, 2023

MEMBERSHIP REGISTRATION DEADLINE-  JULY 19, 2023

ALL PLAYERS AND COACHES MUST BE MEMBERS IN GOOD STANDING BY THIS DATE
Club and Team Name*
Club ID Number*
Team Coach's Name*
Team Captain's Name*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Please Select the appropriate Division- All youth divisions will be Coed*

9U12U15U19USR BronzeSR SilverSR World Class MenSR World Class Ladies
Team Roster- Please list Player Name- Age- Positon Playing - and Jersey number if known*

My Products*

Rink Hockey Nationals Team Entry fee

$550.00

Total

$0.00