Box lacrosse is typically penalized with expulsion and suspensions. In 1990, when the Six Nations created the new Mohawk lacrosse league, fighting was specifically targeted as unacceptable. Violators were ejected from the game in which the altercation occurred and given a minimum three game suspension. Box lacrosse is the most popular version of the sport in the Czech Republic. It is also played to a marginal degree in Australia, primarily by players who have played field lacrosse. Club level box lacrosse leagues in the United States have increased the number of players exposed to the sport, including the: Baltimore Indoor Lacrosse League,
Box lacrosse the Philadelphia Box Lacrosse Association, and the Metro Area Box Lacrosse League. The first world championship of box lacrosse, "The Nations in 1980", was staged in several arenas in British Columbia, Canada in July 1980 involving teams representing the United States, Australia, Canada East, Canada West and the Iroquois Nationals. Canada West (Coquitlam Adanacs) defeated the Iroquois in the nationally televised world championship game from Pacific Coliseum in Vancouver. This was the first time in history that Indigenous peoples of the Americas people represented themselves in an athletic world championship competition. The second international box lacrosse tournament was held in