2019 Registration for the Bozeman NICA Team

Please note: Only parents and legal guardians can register participants under the age of 18 years old.

Participant Information
Mailing Address
Primary Emergency Contact Information
Secondary Emergency Contact Information
Would you like to donate money towards a scholarship for a Bozeman NICA team rider?
How are you able to help the team this year?

Parent/Guardian Signature

Please review your information. When you click 'Submit', we will process your registration, then you can complete your payment and waiver.

Name Item Amount
Registration Total: $0
Registration fee is for Bozeman NICA team only. Additional state ($45) and national ($50) league dues will be due at a later date.
You're registered!
Please complete payment through PayPal
Thank you for your payment.
We will be contacting you soon!
PayPal Reference #:

This is your confirmation, if you would like to print it for your records.

Please complete the waiver using the link in the lower right of the screen.
You have been added to the wait list.

We will contact you as we finalize the groups for this year's programs.

Need to register another rider?