Stopastride Live | ADC Clubman and Production Autotest Entry Form

ADC Clubman and Production Autotest Entry Form

Event Details:
Autotest Drivers Club
1st March 2025
Maze, Long Kesh, Lisburn BT27 5RE

Entries Secretary:
Andrew Earney
07742359897
[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*

Class*

Class A - Front wheel and rear wheel drive specials

Class B - Rearwheel drive sports cars and kit cars manufacturers defined wheelbase

Class C - Saloons under 118 3556mm in length as defined in manufacturers catalogue

Class D - Saloons of 118 3556mm or greater in length as defined in manufacturers catalogue

Class E - Roadgoing Saloons StreetCar

Class F - Modified Saloon Cars

Class G - All MG Midgets Sprites MX5s and MR2s

Class H - Non MiniNova Based Specials

Class P - Production Cars

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.

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	£40
Join Club	£10
Junior Entry (under 18yo)	£0
Junior Membership (under 18yo)	£0

Total: £0

Payment Method*

Credit/Debit Card

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