Florida Blind Hockey – Interest Form

Request edit access

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

We’re bringing blind ice hockey to Florida— building a community for individuals with visual impairment to get on the ice, learn the game, and be part of something new. Whether you’re trying hockey for the first time or thought you’d never play again, there’s a place for you here.

Email *

Full Name *

Phone Number

City/ Location *

I’m interested in:
*

Playing

Volunteering

Coaching

Just learning more

Experience: *

I’ve never skated or played hockey

I’ve skated a little, but never really played hockey

I’ve played casually (pickup, rec league, etc.)

I’ve played organized or competitive hockey

Do you have a visual impairment? *

Yes

Prefer not to say

When would you be most likely to attend a future skate? (Select all that apply)
*

Weekday evenings

Saturday mornings

Saturday afternoons

Sunday mornings

Sunday afternoons

I’m flexible

Required

If we schedule a first skate, a "Try Hockey" event, how likely are you to attend?
*

Just interested in learning more

Very likely

What would make you feel more comfortable trying this for the first time?
*

Is there anything that might prevent you from participating? (Examples: transportation, cost, scheduling, etc.)
*

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Florida Blind Hockey.

Does this form look suspicious? Report

Forms