Brian Bell Memorial Round 2 Online Entry Form

To be held under the Motorcycle Racing Association (Ireland) Ltd, Competition Rules and Standing Regulations and supplementary Regulations as have or may be issued for the event. Laurelbank Motocross Park on Wednesday 16th July 2025 Signing On: 3:45pm Riders Briefing followed by Practice: 5.30pm MRA (Ireland) Ltd Permit No: MRA/2025/043

Gate Entry £5 - Race Entry Fee: Class £35 & £10 per Additional Class - Day Licences £10

Wednesday 16th July 2025

If you do not want to apply and pay online click here to DOWNLOAD ENTRY FORM (submission and payment instructions enclosed)

First Name

Address

Surname

Post Code

Comp. Licence No. - (If none write DAY)

Email address

Phone Number

Date of Birth

PLEASE COMPLETE DETAILS BELOW FOR EACH CLASS ENTRY

Riding Number

Make of machine

Transponder No.

Riding Number

Make of machine

Transponder No.

Do you require a day licence, Please choose the option below and if require choose the payment option at check out which includes £10 day licence. This will be issued at the signing on office on arrival.

MOTOR SPORT CAN BE DANGEROUS AND MAY INVOLVE INJURY OR DEATH

You must read and agree to the declaration and paragraphs below which are designed to create a legally binding relationship in return for you being allowed to enter and compete

1. I confirm that the information in this entry form and the information and my acceptance of the terms of my competition licence are correct.

2. I confirm that I understand the nature of the competition I am entering and I am competent to take part.

3. I confirm that any vehicle I use will comply with the regulations and will be safe and fit for use in the competition.

4. I will satisfy myself (by sighting lap or otherwise) before taking part that the venue and track is acceptable to me with regard to its features and physical layout (unless prohibited to do so).

5. I will NOT take part if I have any doubt about my ability or the safety of the venue.

6. I accept that competition in motorsport may involve the risk of injury or death and I agree to take part at my own risk.

7. Before taking part in the event I will read and be bound by and comply with any regulations and final instructions issued by the organisers, the circuit owners and the regulatory body, MRA/MCUI.

8. I will not participate whilst under the influence of alcohol or intoxicating drugs and that if I am taking any prescribed medication I will inform the event organiser and seek approval to participate before taking part.

9. If under the age of 18, my parent/guardian has read the above and signed the declaration and agreement below.

Your Signature

Select a date

PARENT / GUARDIAN DECLARATION

MOTOR SPORT CAN BE DANGEROUS AND MAY INVOLVE INJURY OR DEATH

To allow the participant to entre the competition you must agree to the matters set out below which are designed to create legal obligations on you. Sign only if you agree

a) I have read the entry form and declaration completed by the applicant and confirm the answers are true.

b) I confirm that he/she is competent to take part in the event and that any vehicle which he/she will use is safe and fit for the competition.

c) I will, before allowing him/her to take part, satisfy myself that the course and the facilities are safe and will inspect same.

d) I also hereby AGREE that if the applicant should sustain any injury from any cause whilst taking part in the event and as a result bring a claim for compensation against you or the organisers or officials or sponsors or entrants or owners of the venue I WILL INDEMNIFY AND PAY BACK TO YOU any sum which you may be required to pay back as a result of such claim.

Your Signature

Select a date

Address if different from applicant

CLICK HERE FOR RULES & REGULATIONS

I have read & agree to the rules & regulationsHERE