Stopastride Live | Galway Motor Club Multi-Venue Autotest Entry Form

Galway Motor Club Multi-Venue Autotest Entry Form

Event Details:
Galway Motor Club
27th September 2026
Kiltormer, Ballinasloe, Galway near H53 PV07

Entries Secretary:
Yvonne Spain
086 4045861
[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*

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 - up to and including 1250cc

Class 2. Front Wheel - Over 1250cc

Class 3. Rear Wheel D - Rear Wheel Drive

Experience Level

Expert

Novice/Beginner

* 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
Galway Motor Club Auto Test	€70

Total: €0

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Payment Method*

Bank Transfer

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

Galway Motor Club Multi-Venue Autotest Entry Form

Driver

Next of Kin:

Driver's Parent/Guardian/Guarantor:

Car

Navigator

Next of Kin:

Navigator's Parent/Guardian/Guarantor:

Dual Entry

Entry Fee's