Ducks Blind Hockey

Please fill out the form below to reserve your spot in our next event!

Note: Please refer to the below ISBA Visual Classifications when filling out this form.

Class B1

No light perception in either eye up to light perception, but inability to recognize

the shape of a hand at any distance or in any direction.

Class B2

From ability to recognize the shape of a hand up to visual acuity of 20/600 and/or

a visual field of less than 5 degrees in the best eye with the best practical eye

correction.

Class B3

From visual acuity above 20/600 and up to visual acuity of 20/200 and/or a visual

field of less than 20 degrees and more than 5 degrees in the best eye with the

best practical eye correction.

USABA Recognized Low Vision Classification

Class B4

From visual acuity above 20/200 and up to visual acuity of 20/70 and a visual

field larger than 20 degrees in the best eye with the best practical eye correction.

Choose Session*

Disabled Hockey Jamboree at Great Park Ice - Sunday, May 12 (12:00 p.m. - 1:00 p.m.)

First Name*

Last Name*

Date of Birth*

Value must be a valid date (MM/DD/YY or MM/DD/YYYY)

Gender*

Phone*

Email Address*

City*

IBSA Visual Classification

View definition for each class above and choose the most applicable.

Do you have hockey experience?*

Do you have your own hockey gear?*

How did you hear about the program?*

If Other above, please specify:

Please subscribe me to The Rinks & Great Park Ice weekly newsletter for info on new programs/events.

By submitting this form, I agree to the Anaheim Ducks, an ocV!BE company, Privacy Policy.

If you have any questions, please email us at hockeydevelopment@anaheimducks.com