Stopastride Live | BIRR & DISTRICT MOTOR CLUB LTD Autotest Entry Form

BIRR & DISTRICT MOTOR CLUB LTD Autotest Entry Form

Event Details:
Birr & District Motor Club
19th April 2026
Carey Glass UC, Nenagh, Co. Tipperary, E45 XV81

Entries Secretary:
Susan Smyth
0872115174

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*

Club Membership Number*

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.

Car

Make*

Model*

Cubic Capacity*

Class*

Class 1 - Front-wheel and Rear-wheel drive specials

Class 2 - Rear-wheel drive sports cars and kit cars (manufacturers defined wheelbase)

Class 3 - Saloons under 11ft 8in [3556mm] in length (as defined in manufacturers catalogue)

Class 4 - Saloons of 11ft 8in [3556mm], or greater in length (as defined in manufacturers catalogue)

Class F1 - FWD Road going cars

Class F2 - RWD Road going cars

Class H1 - FWD Lightweight cars

Class H2 - RWD Lightweight cars

Experience Level

Expert

Novice/Beginner

Entering Production Car?
(Requires Navigator)

Yes

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.

* ADDITIONAL INFORMATION
Re one day licences, they can now be purchased online ahead of an event following upgrade to MI system. A user account with a unique email address is required. To register an account, visit https://app.motorsportireland.com. When you have logged in, please select [Apply/Renew], then [One Event]. Select the date of your event (for multi-day events, the licence is eligible for the entire duration of the event as long as one day corresponds accordingly). After agreeing to a simple declaration, the you will be prompted to pay the €25.00 fee. Once the licence is paid for, it is active and can be used immediately.

Dual Entry

Dual Entry?

Yes

Full name of other driver*

All drivers must submit a separate entry form

Entry Fee's

	Cost	Select
Entry Fee including CPA Insurance	€60
Novice/Junior/Beginner	€50

Total: €0

Have a promo code?

Enter promo code then press apply

Payment Method*

Bank Transfer

Are you registered for Championship:*

MI National Autotest Championship

MUNSTER Autotest Championship

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