Portsmouth Sail & Power Squadron - Safe Boating 8 Hour Pre-Registration Form

Portsmouth Sail & Power Squadron

Squadron Boating Course Pre-Registration Form

Qualifies For Safe Boating Certificate Nation Wide

CLASS Date: March 15 & 22nd 2008

Kittery Trading Post

Updated
13-May-2008

   Instructors: Nate Hazen (SN), William Cass (AP), Holbrook Smith (AP),
                       Janet Cass (P), Jay Sterling (P), Lee Chasse (P)

When: March 15 & 22 2008 - 8am to 12 noon. Note: 1st day 0745 for registration

Where: Kittery Trading Post, 301 Route 1, Kittery Maine. North Entrance

Materials included: Squadron Boating Course & New Hampshire Boating Safety Laws
Other Boating Related Handouts Included

Cost: $ 35.00 for Squadron Boating Course Materials
NOTE: Additional family members may sign up for this course at a reduced registration of
$10.00 and share the Squadron Boating Course Material.

Demand for this course will be high as mandatory possession by any person over 16 years of age
is required as of 1 January 2008, so advanced registration and payment is recommended.

If needed, we will maintain a waiting list for the course starting on April 12th.

Please Enter Full Name, Initials and Last Name As Shown On Drivers License or ID

First Name & Initials:
Last Name:
Street:
City:		State:	ZIP:
Telephone:
E-Mail:
Sex:				Why do we ask for this?
Date of Birth:	Please use "MM/DD/YYYY"			Why do we ask for this?
State/Prov or Country of Birth:				Why do we ask for this?
How long have you been a boater?
What kind of boat do you own?
How did you hear about this course?
Check here to receive e-mail notifications for future seminars and classes:

Once on-line pre-registration is complete, you will be shown a confirmation page. Please print it. You will be required to pay by check or cash at the start of class.

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Why do we ask you for private information like your date of birth and place of birth? Some states require a license to operate a boat, and some require boat operators to pass a boating safety class before they will issue a license. New Hampshire requires a Safe Boating Certificate for anyone on their waters. Once you have completed this course and have passed the examination, you will be given a Certificate of Completion as proof that you have successfully completed and passed this course. This information is also given to our national USPS office so that you can request a duplicate certificate from USPS in the event that you lose your original certificate. Local records are computerized also for this purpose.