2026 USARS Rink Hockey National Championships- Team Entry Form

2026 USARS Rink Hockey National Championships- Team Entry Form

Bedford, PA: Moon Glow II July 11–17, 2026
UP TO 5 TEAMS MAY ENTER PER FORM.

ENTRY FEE - $500 PER TEAM

TEAM REGISTRATION DEADLINE – RECEIVED BY JULY 1, 2026

LATE FEE- $100

MEMBERSHIP REGISTRATION DEADLINE- JULY 8, 2026

ALL PLAYERS AND COACHES MUST BE MEMBERS IN GOOD STANDING BY THIS DATE
Club and Team Name
USARS Club ID Number
Team Contact Name
Team Contact Email
example@example.com
Please Select the appropriate Division(s)- Can register up to 5 Teams per form- All youth divisions will be Coed
Team Roster- Please list Division-Coach Name-Player Name- Age- Position Playing - and Jersey number if known
Team Roster- Please list Division-Coach Name-Player Name- Age- Position Playing - and Jersey number if known- Please list N/A if this field is not used
Team Roster- Please list Division-Coach Name-Player Name- Age- Position Playing - and Jersey number if known- Please list N/A if this field is not used
Team Roster- Please list Division-Coach Name-Player Name- Age- Position Playing - and Jersey number if known- Please list N/A if this field is not used
Team Roster- Please list Division-Coach Name-Player Name- Age- Position Playing - and Jersey number if known- Please list N/A if this field is not used

2026 Rink Hockey Nationals Team Entry fee- Can register up to 5 teams per form

$500.00 Quantity

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