USPS Squadron Boating Course - Registration Form

USPS^® America's Boating Course

Registration Form

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

DATES	DAY	TIME	LOCATION
1 March 2008	Saturday	8:00 AM - 5:00 PM	Duke Energy Explorium 13339 Hagers Ferry Road, Huntersville, NC.
6 April 2008	SUNDAY	8:00 AM - 5:00 PM	Peninsula Yacht Club 18501 Harbor Light Blvd , Cornelius, NC
3 May 2008	Saturday	8:00 AM - 5:00 PM	Denver VFD 3956 North Hwy. 16, Denver, NC
14 June 2008	Saturday	8:00 AM - 5:00 PM	Mount Mourne VFD 1577 Mecklenburg Hwy (Hwy 115), Mooresville NC
12 July 2008	Saturday	8:00 AM - 5:00 PM	Lake Norman VFD Brawley Church Road, Mooresvillle, NC
6 September 2008	Saturday	8:00 AM - 5:00 PM	Denver United Methodist Church 3910 N Hwy 16, Denver, NC

Print out the registration form, complete and mail WITH your check to confirm reservation.

2 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.

	First Name	Last Name	Phone Contact	E-Mail Address
1.
2.
3.
4.

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

Mailing Address for Information and Manual(s)

Street Address	City	State	ZIP

YOUR ADDRESS IS NECESSARY !
4 Please indicate number of students you wish to register in the form below:
Cost of manual and lunch are as follows:
Each student (for lunch and manual):		$35.00
Number of students with this registration:		X _____
5 Total amount submitted with application.	TOTAL	$ ________

Make check payable to:
"Lake Norman Sail & Power Squadron"
and send to:
LNSPS
7734 Autumnview Ct.
Huntersville, NC 28078

For registration and questions please call:

Clyde Starr at (704) 947-2729
or email clydenancy@aol.com

® The USPS Ensign (Flag Design), "Wheel-and-Flag Design", "Officer Trident Design", "United States Power Squadrons",
"USPS", "The Ensign", "the Squadron" with flag graphic, "Boat Smart", and "JetSmart" are registered trademarks of
United States Power Squadrons.
"The Squadron Boating Course" is a service mark of the United States Power Squadrons.

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