2025 241 Motorsports Club Membership Form

241 Motorsports Club Membership Form
Contact Information

Email: two41motorsports@hotmail.com

Website: https://www.241motorsports.com/
Membership Type

Individual RiderFamily Membership
Rider Name*

First NameLast Name
Rider Name 2

First NameLast Name
Date of Birth (Rider 2)

MonthDayYear
Date
Rider Name 3

First NameLast Name
Date of Birth (Rider 3)

MonthDayYear
Date
Rider Name 4

First NameLast Name
Date of Birth (Rider 4)

MonthDayYear
Date
Email*
example@example.com
Date of Birth*

MonthDayYear
Phone Number*

Country CodePhone Number
Data - Please tick the box to agree for you data to be collected and stored securely. Please note that your information will not be sold to third parties.*

Yes I agree
Parental/ Guardian Declaration and Agreement for Riders Under 18 Years of Age.

1) I confirm that I am the legal parent/guardian of the above mention name.

2)I give my permission for my child to become a member of 241 Motorsports Race Club.
Parental/ Guardian Declaration and Agreement for Riders Under 18 Years of Age.

Yes I agree
Parent Name

First NameLast Name

Payment

241 Club Membership

€60.00 Quantity

241 Club Membership (Family)

€100.00

Total

€0.00

Please check your emails in the coming weeks for when we send out you official digital 241 Motorsports Club membership card, which will contain your MCI number required to apply for your license.
Should be Empty: