Stopastride Live | Galway Motor Club MVAT Entry Form

Galway Motor Club MVAT Entry Form

Event Details:
Galway Motor Club
14th September 2025
RMAAC, Sheepwalk, Kiltormer, Ballinasloe

Entries Secretary:
Evan Murphy

[email protected]

This event is held under the General Regulations of Motorsport Ireland (incorporating the provisions of the International Sporting Code of the FIA) and these Supplementary Regulations.

Driver

Forename*

Surname*

Address*

Town/City*

Postcode*

Email*

Telephone*

Club*

Competition Licence Number*

Issuing Association*

eg. Motorport UK/Ireland

Licence Type*

eg. RS Clubman

Next of Kin:

Name*

Relationship*

Telephone*

Driver over age of 18*

Yes

Date of Birth*

Driver's Parent/Guardian/Guarantor:

Name*

Telephone*

Address*

Full address including postcode, or 'as above' if same as driver's address.

Will you be carrying a navigator?

Yes

Car

Make*

Model*

Cubic Capacity*

Registration Number*

Class*

Class A - Saloon Cars UP TO 1000CC FWD

Class B - Saloon Cars UT TO 1400CC FWD

Class C - Saloon Cars OVER 1400CC FWD

Class D - RWD Saloon and Sports Cars

Class E - Retro Cars pre 1987

Class F - Junior Class 14 to 16 years old restricted to 1000cc cars

Production Car Navigator

Forename*

Surname*

Date of Birth*

Address*

Town/City*

Postcode*

Email*

Telephone*

Club

Competition Licence Number

Issuing Association

eg. Motorport UK

Licence Type

eg. RS Clubman

Next of Kin:

Name*

Relationship*

Telephone*

Navigator over age of 18*

Yes

Navigator's Parent/Guardian/Guarantor:

Name*

Telephone*

Address*

Full address including postcode, or 'as above' if same as driver's address.

* IMPORTANT – COMPETITORS UNDER 18
Competitors under 18 years of age (Minor) must be entered in the event by the holder of a Minor Entrant Licence who must countersign this entry form. A Minor Entrant who is not the parent/legal guardian of the Minor, must be Garda Vetted. Where an adult sits in the same car as a Minor competitor, the adult must be the holder of a Minor Entrant Licence, if they are not the Minor’s Parent/Legal Guardian this licence must include Garda Vetting. It is not permitted to have two minors in the same vehicle.

Dual Entry

Dual Entry?

Yes

Full name of other driver*

All drivers must submit a separate entry form

Entry Fee's

	Cost	Select
Passenger CPA 16/17yo	€3
Passenger CPA 18yo	€5
Standard Entry fee	€80

Total: €0

Payment Method*

Bank Transfer

I have read, understand and accept Galway Motor Club's privacy policy and Stopastride Live Timing's privacy policy. *