Each player uses a modified hockey sled fitted with a unique seat and hockey skate blades mounted underneath the sled. In addition, skaters carry two shortened hockey sticks to assist in both propulsion and puck handling. Players wear, at a minimum, a helmet with face cage, mouth guard, shoulder pads, hockey jerseys, personal protection and hockey socks.

Sled hockey is run by a certified coaching staff and trained volunteers. As with all amateur ice hockey, USA Hockey rules and regulations are adhered to.