Adult Divisions
Las Vegas, NV

First Name *

Last Name *

Phone *

Email *

Please Select:

Male

Female

Refer to jersey sizing guide here

Preferred Jersey Size *

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Please indicate your interest in tier *

TIER 1: Gold Greats

TIER 2: Silver Selects

BOTH: Willing to play both, if numbers allow.

EITHER: Wherever you want me.

USABH Number (If you already have one)

If you have one already, if not skip this.

Please click HERE
to read the USA Ball Hockey Acknowledgements & Waivers

I have read and agree to the USA Ball Hockey Acknowledgements and Waivers linked above. I understand if I enter the play without the equipment required by USABH (Helmet, Gloves, Shin guards, Sneakers) I will not be eligible for any insurance coverage. *

Yes, I have read and agree.