2023 Registration Please enable JavaScript in your browser to complete this form.Name *FirstLastRegistration *Standard Registration €40.00Junior €25.00J1000 €15.00Competitor Type *DriverNavigatorDate of Birth *Address *Address Line 1Address Line 2CityState / Province / RegionPostal CodeAfghanistanAlbaniaAlgeriaAmerican 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 *Mobile Number *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 *No YesGrp 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 2023 (see article 7) *Round 1: Moonraker Forestry - 15th AprilRound 2: Tipperary Forestry - 14th MayRound 3: Wexford Rally Sprint - 11th JuneRound 4: Carlow RallySprint - 25th JuneRound 5: Ravens Rock Rally - 02nd JulyRound 6: Carrick On Suir Rally Sprint - 27th AugustRound 7: Wexford Volkswagen Stages Rally - 09th SeptemberRound 8: Wexford Volkswagen Stages Rally - 10th SeptemberRound 9: Carrick on Suir - Willie Loughman Forestry Rally - 08th OctoberClub Member *Choose your club by clicking hereWexford Motor ClubCarrick on Suir Motor ClubCarlow Car ClubTipperary LC & MCMunster Car ClubOtherSignature *Clear SignatureI agree to be bound by the championship regulations and consent to my information being supplied to Motor Sport Clubs. *I agreeStripe Credit Card *CardName on CardSubmit