USAT Member Registration
Racer Information – Select a Category – Payment – Confirmation
Please verify the information below. If there are any errors please email us at [email protected]
| USAT Member Number: | USATNUMBER |
| First Name: | FIRSTNAME |
| Last Name; | LASTNAME |
| Address 1: | ADDRESS1 |
| Address 2: | ADDRESS2 |
| City: | CITY |
| State: | STATE |
| Zip Code: | ZIP |
| Email: | |
| Phone: | PHONE |
| Date of Birth | DOB |
| Gender: | GENDER |
| Emergency Contact Name: | CONTACTNAME |
| Emergency Contact Phone: | CONTACTPHONE |
| Start Time: | STARTTIME |
| Category: | CATEGORY |
The above information will be sent to USA Cycling for verification of your USAT status.
Once your status is verified, if you do not currently have a USAC racing license, USA Cycling will issue your USAC racing license.
If you have any questions, please email us at [email protected]