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As a large section of the Republic of Ireland does not have a Postcode/Zip address this section of the address is not a required field so you can leave it blank. Please fill in the rest of your address.
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If you are using a different email address for your PayPal payment please fill this in so we can match the rider with payment.
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MOTORSPORT CAN BE DANGEROUS AND MAY INVOLVE INJURY OR DEATH
PARENT/GUARDIAN DECLARATION AND AGREEMENT
To allow the applicant to enter the competition you must agree to the matters set out below which are designed to create legal obligations on you. Tick below only if you agree. *
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Please tick your riding class, Evo/Vets/Girls sign on in their grade and practice in your grade but can also ride in the additional classes *
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If you require a day licence please write day in the box
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ENTRY FEES: Entry fees *
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Information on this form will not be passed onto any third parties.
In submitting this form I agree to the Terms and conditions set below.
WARNING – MOTORCYCLE RACING IS DANGEROUS, PERSONS ATTENDING THIS MEETING DO SO ENTIRELY AT THEIR OWN RISK
I/my rider/s/the rider/s in my care has/have reached the age specified by Motorcycle Racing Association (Ireland) Ltd. at which l/he/she is permitted under these regulations to take part in this class of event in my/his/her specified group and hereby consent to my/their participation in the event above. To the best of my belief I/he/she possesses the standard of competence and skill necessary for an event of this type.
I am he/she is fit and not suffering from any physical or mental disability which would impair my/their safe participation in this meeting and I undertake to inform the organisers immediately, should any change in my/their condition occur, which I have reason to or ought to have reason to believe would affect my/their ability to continue to participate in this competition.
I/my rider/s have inspected the track and facilities and am/are satisfied that all reasonable safety precautions have been taken and am aware that if I/we should not be satisfied, I may refuse to sign this form and have any entry monies previously paid over, returned, should l/we decide not to enter this meeting.
The machine/s to be used from my control, comply with the regulations for this event, as required upon scrutineering and further that it is safe and in a fit and proper condition for use in this event.
As a participant, I/he/she may be exposed to the risks inherent in motor sport and that I am, he/she are prepared to take such risks.
I certify that the details given above are correct to the best of my knowledge.
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