Anyone who uses a power wheelchair is eligible to play. All players must have the ability to operate their chairs safely. Participants include people five years old and up who have quadriplegia, multiple sclerosis, cerebral palsy, head trauma, stroke, or any other physical disability.

There are two divisions of power soccer based upon level of ability. Division I include the players who consistently demonstrate good techniques, strategies, and proficiency of the game, while Division II includes players who have not yet demonstrated these skills.

In its advanced form, the game is about court position, blocking, picking, and keeping the ball in the opponents' half. Good players are aggressive, but under control. They have good court sense, good ball sense, and good concentration. Power soccer is a contact sport, but it is not violent; movement and positioning key.