Please enable JavaScript in your browser to complete this form.Name *FirstLastRegistration *Standard Registration €50.00Junior €30.00J1000 €20.00Competitor Type *DriverCo-DriverDate of Birth *DD12345678910111213141516171819202122232425262728293031MM123456789101112YYYY20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Address *Address Line 1Address Line 2CityState / Province / RegionPostal CodeAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia 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(Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryEmail (parents or guardians if under 18) *Mobile Number (parents or guardians if under 18) *Competition Licence Number *Licence Grade *Issuing Association *Motorsport IrelandMSAOtherCar Make & Model *Car Registration Number *Engine Cubic Capacity *Valves Per Cylinder *Two vales per cylinderMore than two valves per cylinderTurbo *YesNo2 Wheel Drive OR 4 Wheel Drive *2 Wheel Drive4 Wheel DriveGrp N *NoYesGrp R *YesNoGroup Entered (see article 4) *Group J1000 – 20,00 €Group 1 – Juniors – 30,00 €Group 2 – 50,00 €Group 3 – 50,00 €Group 4 – 50,00 €Group 5 – 50,00 €Group 6 – 50,00 €Group 7 – 50,00 €Choose your Nominated Event for Double Points 2024 (see article 7) *Round 1: Carlow Car Club Forestry Rally – 23rd March 2025Round 2: Munster Car Club Moonraker Forestry Rally – 12th April 2025Round 3: Tipperary Forestry Rally – 11th May 2025Round 4: Carrick on Suir Ravens Rock Rally – 6th July 2025Round 5: Carrick on Suir Rallysprint – 19th July 2025Round 6: Wexford Volkswagen Stages Rally – 13th September 2025Round 7: Wexford Volkswagen Stages Rally – 14th September 2025Round 8: Laois Loose Surface Rallysprint – 18th October 2025Round 9: Carlow Rallysprint – 27th December 2025Club Member *Choose your club by clicking hereCarlow Car ClubCarrick on Suir Motor ClubClare Motor ClubLaois Rallysport ClubMunster Car ClubTipperary LC & MCWexford Motor ClubOtherI agree to be bound by the South East Stages Rally Championship Regulations. *I agreeI agree to the content of the GDPR Policy of the South East Stages Rally Championship. (copy available via Sportity – SES2025) *I agreeI consent to my contact details being shared with the championship promoting motor clubs. *I agreeSignature * Clear Signature Signed Parent/Guardian if under 18: Clear Signature Submit
