IDA New Rider Application

Once this form is submited you will be redirected to the login page. At that time you will have access to login and manage your team profile. The coach and college representative will receive a confirmation email as well as the region representative.

Your complete registration information will only be used to register you as an active member of the IDA. Your name and email address will be put into our IDA email database, and will be shared with sponsors to ensure all members receive their awarded membership perks.

If you do not wish to share your info with sponsors, and therefore do not wish to receive membership benefits associated with those sponsor emails, please email [email protected].

Select Your Team:(Required)

Personal Information

First Name(Required)

M.I.

Last Name(Required)

Common Name

Permanent Address(Required)

City(Required)

State/Prov.(Required)

Zip Code/Postal Code(Required)

Phone Number(Required)

Cell Number

Primary Email Address(Required)

Are you an USEF Member?(Required)

Yes

School Address

Address At School(Required)

City(Required)

State/Prov(Required)

Country(Required)

Zip Code/Postal Code(Required)

Phone Number(Required)

Login Information

Enter Desired Username(Required)

Enter Password(Required)

Enter Password Verify Password

Strength indicator

Comments

This field is for validation purposes and should be left unchanged.