11/09/2026
Blackchurch Racing Association.
Entry Form
Joe ONeill Run - 24th October 2026
Harry O’ Reilly Run - 25th October 2026
Venue: Killashandra Co Cavan.
Riders Details- Block Capitals Please
Name: _________________________________________________________________
Tel: ____________________________________________________________________
Email:__________________________________________________________________
Address: _______________________________________________________________
_________________________________________________________________________
Machine: __________________________ Model:___________________________
CC:_________________________________ Year: ___________________________
I have read the regulations governing the 2026 Joe O’Neill Run / Harry O Reilly Run and agree to be bound by them. In consideration of the acceptance of this my entry I agree to save harmless and keep indemnified the Black Church Racing Association (including owners or Lessees of and lands used for the event) and their respective officials, servants, representatives, or land agents, from and against all actions, claims, costs, expenses and demands in respect of death of or injury to or loss or damage to the person or properties of myself, my driver (s) or passenger (s) or mechanic (s) as case may be howsoever caused arising out of , or in commotion with my taking part in this event, notwithstanding that the same may have been contributed to or occasioned by, the said bodies and their officials, servants, representatives or agents. Furthermore, in respect of any parts of this event on ground where third party insurance is not required by law this agreement shall in addition to the parties named above extend to all and any other competitors and their servants or agents. Further I agree to act in accordance with the instructions of the officials of the club. I confirm that the machine with which I will participate will be fully covered by insurance for my participation therewith for the whole period of the event in accordance with the road traffic act.
Signature of Entrant: _________________________________Date:____________
Please email completed entry forms to Paddy Conway at [email protected]
Closing date for entries – 16th October 2026
Entry fee €25 payable by revolute to Derek Dignam – 087-2468274