Register

Class A: May 24,25, 26
Class B: June 25,26,27
Class C: July 7,8,9

Boat Safety Class Form

"*" indicates required fields

Name*

First Last

Age*

Email*

Phone*

Address*

Street Address Address Line 2 City State ZIP Code

Class*

Class A

Class B

Class C

Students must attend ALL three class days.

Number of Participants*

Participant 2*

First Last

Age*

Participant 3*

First Last

Age

Total

Credit Card

Cardholder Name

Card Details