Registration Form

Student Name*

First NameLast Name

Company (If Maritime Industry)

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Mobile Number*

Student E-mail*

example@example.com

Birth Date*

MonthDayYear

Choose the courses you want to attend*

Operator of Uninspected Passenger Vessels Only (OUPV/6-Pack)Master less than 100 Gross Tons (Includes OUPV)Assistance Towing EndorsementAuxiliary Sail EndorsementFirst Aid/CPR/AED Course (USCG Approved)

OUPV/Master Course Start Date*

THIS IS THE PAYMENT SECTION - ONLY Choose What You're Paying For Today. A deposit is the minimum required. *

Deposit to hold a seat - Required as Minimum Non-refundable deposit holds your seat in the class. Balance is due 10 days prior to course start date. Must pay this to register if not paying in full for your class.

$150.00

Operator of Uninspected Passenger Vessels (6-Pack)

$975.00

Master Less Than 100 Gross TonsIncludes OUPV Course

$1,425.00

Assistance Towing Endorsement

$175.00

Auxiliary Sailing Endorsement

$175.00

First Aid/CPR/AED Course (USCG Approved)Required for USCG License. $15 student discount (Reg. $95)

$80.00

USCG/DOT Drug TestRequired for USCG License. $15 student discount (Reg. $70)

$55.00

Total

$0.00

Credit Card

Additional Comments

Student Registration Form

Credit Card