EMRA Membership - Junior | EMRA | East Midland Racing Association

Ready to become a member of East Midland Racing Association (EMRA)? Fill out the membership registration form below, and we look forward to you racing with us in 2021.

Membership takes two working days to process. We will contact you once your application is complete

Personal Details

First Name *

Surname *

Date of Birth *

Day

Month

Year

Address

Address Line 1 *

Address Line 2

Town / City *

County *

Postcode *

E-Mail Address *

Home Phone

Mobile Phone *

Emergency Details

Emergency Contact Name *

Emergency Phone Contact No. *

Emergency Contact Relationship *

Machine Class *

125

Solo

Side Car

Machine Capacity * cc

Preferred Race Number (Not Guaranteed) *

Do you require an ACU unique code for your 2021 licence application? *

Yes

Declaration *

I WISH TO BECOME A MEMBER OF THE EAST MIDLAND RACING ASSOCIATION AND WILL ABIDE BY THE ACU RULES, REGULATIONS AND NATIONAL SPORTING CODE 2021

Yes