USA Cycling Membership Request Form for NICA Student Athletes

Fill out the form below to receive your access code for a free USA Cycling Junior Membership. Your unique access code will be emailed to you immediately upon completion of this form.

Rider First Name *

Rider Last Name *

Rider Email

Parent or Guardian Email (required) *

Please select your NICA League *

I attest that I am or plan to be an active member of a NICA league in 2023. *

Yes

Your NICA membership will be cross-checked and verified. If you are found not to be a member, you will be billed $40.