Player Name *

First Name

Last Name

Contact Phone *

(###)

###

####

Skill Level *

Choose one of the options below.

A - (Highest and most competitive)

B - (A little competitive, a little fun)

C - (Casual, Beginners, or Older Players)

Select option if it applies to you.

Goalie

Release of Contact Info *

I permit OBM Arena to transmit my contact information to team Captains/Managers for the purposes of getting placed on a team. Please note that this does not guarantee a spot on a team.