IEA Registration Form IMPORTANT NOTE: Once your membership is confirmed, the staff will let each rider know the class they will be competing in. Then, each rider MUST register for themselves on the IEA website at www.rideIEA.org. There is a $60 membership fee that must be paid online. Horse show entry fees will be paid by NCMT directly so no payments will be required by riders on the day of shows.Parent/Guardian Name* First Last Parent/Guardian Email* Rider Name* First Last Lesson Preference 1*-Select One-Mondays, 6:45-7:45Wednesdays, 6:45-7:45Fridays, 6:45-7:45Lesson Preference 2*-Select One-Mondays, 6:45-7:45Wednesdays, 6:45-7:45Fridays, 6:45-7:45Lesson Preference 3*-Select One-Mondays, 6:45-7:45Wednesdays, 6:45-7:45Fridays, 6:45-7:45Total FeesHow would you like to pay?*Pay in full todayPay in two installments (1/2 today and 1/2 in 120 days)Pay in full amount due Price: $0.00 Installment payment due today (1st of two) Price: $0.00 Terms, Conditions and Cancellation Fee* I agree to the terms and conditions If you withdraw from IEA within 30 days of starting the program, you're fees will be refunded, less a 50% cancellation fee. If you withdraw after the first 30 days, there are no refunds. Exceptions are made for those with doctor-certified medical injuries or conditions that prevent them from completing the program. This payment does not include any personalized team gear you may want to purchase nor does it include transportation to and from the horse shows or fees should the rider qualify for regionals or finals. Signature of Parent/Guardian or Rider (if rider is 18 or older)*Credit Card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20202021202220232024202520262027202820292030203120322033203420352036203720382039 Expiration Date Security Code Cardholder Name PhoneThis field is for validation purposes and should be left unchanged.