ADVANCED GRADE REGISTRATION

Please contact the Squadron Educational Officer
by Phone or Facsimile at (781) 749-2994, or
for confirmed starting dates of the course of your choice and course fees.

Download and complete the following and mail it,
together with your check in the required amount to:

Bare Cove Sail & Power Squadron, PO Box 11 - Accord Station, Hingham MA 02018-0011

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ADVANCE GRADE COURSE REGISTRATION
(Please print or type all entries)

NAME OF COURSE FOR WHICH YOU WISH TO REGISTER _________________

______________________________________________________________

Last Name             First Name                        Initial

______________________________________________________________

Street Address

______________________________________________________________

                                   City/Town                        State             Zip Code                         e-mail address

(_______) ________________ ___M___F ____/____/____

                                          Area Code          Telephone #                              Sex        Date of Birth

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This page last updated August 28, 2006