Stopastride Live | Wesley Lamont Autotest Entry Form

Wesley Lamont Autotest Entry Form

Event Details:
Larne Motor Club
22nd February 2025
Clinty Quarry, Ballymena

Entries Secretary:
Jonathan Millar

[email protected]

This event is held under the General Regulations of Motorsport UK (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.

Car

Make*

Model*

Cubic Capacity*

Registration Number*

Class*

Class 1 - Historic Pre 74

Class 2 - FWD cars up to 1600cc

Class 3 - FWD cars over 1600cc

Class 4 - RWD cars up to 1600cc

Class 5 - RWD cars over 1600cc

Class 6 - Juniors

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.

Dual Entry

Dual Entry?

Yes

Full name of other driver*

All drivers must submit a separate entry form

Entry Fee's

	Cost	Select
Charity voluntary donation	£10
Driver membership (Larne MC)	£10
Event entry fee	£50
Navigator membership (Larne MC)	£10

Total: £0

Payment Method*

Credit/Debit Card

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