Boating Course Registration Form

America's Boating Course

Event Date: Saturday, April 20, 2024
Event Address: Western Sailing Club, 200 Westwind Way, Anderson, SC
Contact us at (706) 202-5901 or rachaelparr445@gmail.com

Welcome to your boating journey!

America's Boating Course is recognized by the U.S. Coast Guard and has been approved by the National Association of State Boating Law Administrators (NASBLA).
Attendee Information

Please fill name and contact information for your boating safety certificate and card. This will be sent to you once you have completed the course.
Your Name*

PrefixFirst NameLast Name
Email Address
example@example.com
Contact Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Sex
Birthdate*

MonthDayYear
Date
Hair Color*
Eye Color*
Height*
Boat Type*
Boat Length*

Under 16'16-25'26-39'40-54'55+'
Do you own a boat trailer*

YesNo
Number of years in boating*
Boat Horsepower*
How did you learn about this course?*

Newspaper/MagazineTVWeb/Social MediaOther
Names of family members that plan to also attend at no additional cost. They will complete the information needed for their boating certificate/card the day of the class.
What do you expect to gain from this course? Please list the three most important things you expect to learn/gain from taking this course.
My Products*
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Boating Course
$37.00 Quantity

Total

$0.00

Payment Methods

Debit or Credit Card

Please click one of the PayPal options to complete payment and submit the form.

America's Boating Course