2024 Registration Please enable JavaScript in your browser to complete this form.Name *FirstLastRegistration *Standard Registration €40.00Junior €25.00J1000 €15.00Competitor Type *DriverCo-DriverDate of Birth *Address *Address Line 1Address Line 2CityState / Province / RegionPostal CodeIrelandAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (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 IslandsCountryInformationEmail (parents or guardians if under 18) *Mobile Number (parents or guardians if under 18) *Competition Licence Number *Licence Grade *Issuing Association *Motorsport IrelandMSAOtherCar RegistrationCar 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 – 15,00 €Group 1 – Juniors – 25,00 €Group 2 – 40,00 €Group 3 – 40,00 €Group 4 – 40,00 €Group 5 – 40,00 €Group 6 – 40,00 €Group 7 – 40,00 €Choose your Nominated Event for Double Points 2024 (see article 7) *Round 1: Carrick on Suir – Willie Loughman Forestry Rally – 14th AprilRound 2: Wexford Rallysprint – 16th JuneRound 3: Tipperary Stonethrowers Rally – 14th JulyRound 4: Carrick on Suir Rallysprint – 25th AugustRound 5: Wexford Volkswagen Stages Rally – SATURDAY 14th SeptemberRound 6: Wexford Volkswagen Stages Rally – SUNDAY 15th SeptemberRound 7: Clare Motor Club Forestry Rally – 5th OctoberRound 8: Laois Rallysport Club Loose Surface Rallysprint – 16th OctoberRound 9: Carlow Rallysprint – 27th DecemberClub 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 – SES2024) *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 Stripe Credit Card *CardName on CardSubmit
