Please note that this is an automated form which will be sent directly to the relevant co-ordinator.   Kindly refrain from calling or emailing for confirmation, a response will be emailed regarding your request. 

(Incomplete information will result in no race number reservation for the 2019 season)

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* 1. FIRST NAME:

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* 2. SURNAME:

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* 3. EMAIL:

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* 4. REGION:

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* 5. ID NUMBER:

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* 6. 2019 MSA LICENCE NUMBER: (If you are not be in possession of a 2019 licence do not complete this section. Note: Should you not obtain your 2019 licence by 31 January 2019, your race number may be forfeited.)

Please select a class below, and list 3 possible numbers to check availability.

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* 7. 65cc Junior Motorcycles:  Open to competitors from the year of their 7th birthday, to 31st December of the year in which their 12th birthday occurs - The maximum permissible capacity is 65cc 2-stroke or 85cc auto or 110cc 4 stroke. (Minimum and maximum wheel size 12” rear 14” front).  Numbers range between J321-J500.

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* 8. 85cc Junior Motorcycles:  Open to competitors from the year of their 8th birthday, to 31st December of the year in which their 13th birthday occurs - The maximum permissible capacity is 86cc 2-stroke or 125cc 4-stroke air cooled. (Minimum wheel size 14” rear 17” front, Maximum 16” rear.  Numbers range between J321-J500.

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* 9. 85cc Senior Motorcycles:  The maximum permissible capacity is 85cc 2-stroke or 150cc 4-stroke. Chassis suspension and engine modifications unrestricted. (Minimum wheel size 14” rear 17” front, Maximum 16” rear and 19” front).  Numbers range between J211-J300.

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* 10. WOW Class (Cross Country Mcycles / Enduro):  Engine capacity and age restriction as per Class entered. 

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* 11. Club classes (Cross Country Mcycle / Enduro) - C prefix

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* 12. Other:

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