Step 1 of 4 25% Please complete the form below to purchase a Junior Off-Road Participant Pass. Applicants MUST be under 18 years of age and have signed parental consent. Once you have completed the form and your payment, your application will be processed - if approved, a Participant Pass will be automatically emailed to you as a PDF. Intended for Junior Competitors who intend to go on to apply for a full race Licence on completion of a Riders Assessment. Or riders who only wish to take part in Practice and training events, such as Enduro, Motocross, Grass Track and Trials. Junior Off-Road Participant Pass Price: Participant Cert NumberApplicants Name(Required) First Last Date Of Birth(Required) DD slash MM slash YYYY Parent / Legal Guardian DetailsParent / Legal Guardian Name(Required) First Last Parent / Legal Guardian Phone(Required)Parent / Legal Guardian Email(Required) Enter Email Confirm Email Parent / Legal Guardian Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country For every rider who is under 18 years of age a Parental or Guardian agreement form must be submitted with every Licence Application Form. Please download and print the form below, and upload it. DOWNLOAD HEREParent / Legal Guardian Agreement(Required)Hereinafter referred to as (my/our child) accept that my/our child may participate in Offroad Racing or practice: I declare as follows. 1. That I am/we are familiar with the nature of the competition and the risk inherent therein and that other than where not provided for by the nature of the event, m y/our child will have the opportunity to inspect the course/track. Circuit and its facilities not less than 30 minutes prior to commencement, of practice or event which ever occurs first. 2. I am/we are satisfied and consent that my/our child be allowed to participate as a competitor and that he she is competent to do so. 3. In consideration of the organisers allowing my/our child to compete I hereby agree to undertake to Indemnify the Motor Cycle Union of Ireland Southern centre, the clubs, the organisers, their servants or agents, officials and the promoter or any other bodies individuals connected with the event in respect of any claim by my/our child in respect of injury or any damage to my property howsoever caused, and including limitation their negligence and/or breech of statutory duty arising from my/our child's participation in the competition. 4. My/our child does not suffer from any physical or mental disability, which would make it unsafe for him/her to participate as a competitor. 5. I/we confirm that I/we has had the opportunity to read, and that I/we consequently understand the general competition rules of the Motor Cycle Union of Ireland, Southern Centre Ltd, the Standing Regulations, supplementary Regulations and any final instructions subsequently issued and Entry Forms applicable to the event, and that is my/our responsibility to ensure that my/our child understands them and that he/she will comply with them. 6. To the best of my/our belief my/our child possesses the standard of competence necessary for an event of this type to which his/her entry relates and that the machine entered will be suitable, safe and will comply with the Regulations for those events. 7. JUNIOR Quads: I/we are aware of the Manufacturers recommended age restrictions issued with the Quads but agree to ride under the ages laid out for racing under controlled racing rules of the Motor Cycle Union of Ireland, Southern Centre Ltd. I agree.Parent / Legal Guardian Declaration(Required)1. I will respect the rules and Procedures set down in Motorcycling Ireland’s Code of Practice for children in Sport. 2. I will respect my child’s team mates, officials, coaches, other parents as well as riders 3. I will give encouragement and applaud only positive accomplishment whether from my child, his/her team, their opponents or the officials. 4. I will respect the officials and their authority during events. 5. I will never demonstrate threating or abusive behaviour or foul language. 6. I will encourage my child to treat other participants, officials, coaches and clubs with respect. I agree.Parent / Legal Guardian Signature(Required)Please sign hereDate(Required) DD slash MM slash YYYY Required Uploads and InfoAll applicants are required to upload a recent passport photo, which will be included on the certificate. If you are on a smartphone, you should get the option to take a selfie when you click below (this depends on the device) - a selfie headshot can be accepted but please ensure its clear, properly lit and against a plain background.Photo Upload(Required) Drop files here or Select files Accepted file types: jpg, jpeg, png, Max. file size: 25 MB, Max. files: 1. Please include your club name and club membership number below.Affiliated Club(Required)241 motorsportsClassic Bike Racing IrelandDK Motocross LtydDublin & District MCCDublin City motocross clubEast Coast Offroad ClubEast Cork Motorcycle ClubFASTLANE MCCFaugheen50 Supporters Club LtdFingal Motor ClubFore Motorcycling Racing clubIMCCIrish Motorcycle ClubIrish SIdecar and Motorcycle Racing Supporters Club Ltd.Kells Road RacesLEINSTER MOTOR CLUBLoughshinny Motorcycle Supporters CoubMid-West Trials & Trail CLGMilverton Off RoadMondello Park Sports ClubMotor Enthusiasts' ClubMunster Motorcycle ClubNorth Dublin MX Clubrooters motorcycle club ltdSouth West Road Races AtheaTORCWEST CORK MOTORCYCLE CLUBWexford OffRoad MCCYoughal Motorcycle ClubClub Membership Number(Required)Club Membership Certificate UploadIf you have a copy of your Club Membership Certificate, please upload it here. Drop files here or Select files Accepted file types: jpg, jpeg, pdf, png, Max. file size: 25 MB, Max. files: 1. Flag DeclarationPlease carefully review the flag and signals instructions below Flag Declaration(Required) I hereby confirm that I have read and understood the flag and signal instructions aboveMedical DeclarationMedical Declaration(Required) I hereby confirm that I am fit and healthy to take part in non-competition off-road eventsSubmit FormTotal Payment/Gift Voucher Code (optional)If you have a gift voucher, or were supplied with a specific payment code, please enter it here Credit CardCard Details Cardholder Name Consent(Required) I consent to sending my details to Motorcycling Ireland for the purpose of processing my application as per the terms of the privacy policy. Δ