Stopastride Live | TDC Clubman Autotest Entry Form

TDC Clubman Autotest Entry Form

Event Details:
Trials Drivers Club
23rd March 2025
Mondello Park

Entries Secretary:
Philip OReilly
0872686333
[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.

Car

Make*

Model*

Cubic Capacity*

Class*

Class Beginner - Beginner

Class Novice - Novice

Class Semi-Expert - SemiExpert

Class Expert - Expert

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
2025 Member Expert/Semi-Expert Entry Fee	€50
2025 Member Novice/Beginner Entry Fee	€40
Join Club	€21
Non Member Expert/Semi-Expert Entry Fee	€60
Non Member Novice/Beginner Entry Fee	€50

Total: €0

Payment Method*

Credit/Debit Card

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