USPS^® America's Boating Course^©    Registration Form
Register Now for a Class in our 2012 SCHEDULE.   << Five easy steps >>
Fill out (type in information) the registration form, Print it and mail WITH your check to confirm reservation.

1 Check the appropriate Session (You may use one form for multiple students in same family with same address.) 

2   Type or Print legibly the requested information for each student you wish to register in the lines below: 

TO REGISTER - Check appropriate course in the table above - Complete form, attach check and send by U.S. Mail.
IMPORTANT: Place a check in the box in last column ONLY if under age 16 and are seeking PWC certification.
  Please do not use "nick-names". Your full legal name is required for use on official documents !!!

3   Print U.S. Mail address below in case we need to mail you information: 

Mailing Address for Information and Manual(s)

 YOUR ADDRESS IS NECESSARY !   

4   Please indicate number of students you wish to register in the form below: -one form per family, please! 

Instruction provided free by volunteers !    Cost of manual and lunch are as follows:  

First member of family registering and ea. add. manual - (for lunch and manual)  $45.00 ea.

$  

No. of add. students (family members sharing manual) with this registration =   (only $20 ea.)

+  

5   Total amount submitted with application. 

TOTAL

$ 

 Make check in the amount of the TOTAL above  payable to:
"Lake Norman Sail & Power Squadron"
and send, along with this form, to:
LNSPS
 PO Box 4799, Mooresville, NC 28117

For additional information please call:

Bob Yannacci, 704 660 5568

or EMail: sportscarguy at roadrunner.com