Stopastride Live | Round 5 McMillan Autotest Championship Entry Form

Round 5 McMillan Autotest Championship Entry Form

Event Details:
Omagh Motor Club
7th June 2025
Gortin Road, Omagh

Entries Secretary:
Oran McAleer
07920026201

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*

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.

Full name of other driver*

All drivers must submit a separate entry form

Entry Fee's

	Cost	Select
Chaampionship Entry Fee	£50
Clubman/Advanced/Production Entry Fee	£40
Junior u18 Entry Fee	£15

Total: £0

Payment Method*

Credit/Debit Card

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