ABC3 8 HOUR REGISTRATION PAGE

Form Updated 11 June 2012

America's Boating Course - 12 Hour
Date: 11 September - October 23rd 2012

America's Boating Course - 3rd Edition is our primary civic effort toward public instruction in the fundamentals of safe boating. Materials include a 244 page full-color book, comprehensive boating information, introduction to navigation, and two CDs.Both short (8-hour) and long (12-hour) formats are designed to familiarize the student with the fundamentals of safe boating and qualify for certification in most states that require boating education before operating a watercraft.

The long (12-hour) course covers all that's included in the 8-hour course and adds basic information on both paper and digital charts and basic piloting techniques, equivalent to the full version of The Squadron Boating Course.

This class will be held on Tuesdays, from 7pm to 9pm at the main Cafeteria in the Portsmouth High School at 51 Andrew Jarvis Drive, Portsmouth, NH 03801

Instructor(s): Taught by USPS Certified Instructors & Assistants

Class Price: $50.00 which includes the 244 page Textbook, plus two CD's. An introductory navigation software disc, "Coastal Explorer," which loads and reads charts downloadable from NOAA, (we'll show you how), plus a supplemental learning disc for the course itself. Additional family members at SAME address can share materials and complete course for $10.00 fee.

Advanced registration and payment is required. To register for this seminar, please fill in the form below and click "Submit". Any information you provide will be treated as private (see our privacy statement). Please submit one registration per person. Payment may be sent to William F. Cass (AP), 980 Goodwin Rd, Eliot ME 03903 with check made out to USPS Portsmouth.

If you have questions or problems with this form, please contact the Webmaster

America's Boating Course - 12 Hour Course

All Attendees MUST Fill out this form separately
Family Members Also
Please Indicate Family Status in the Comments Section

Full Name:

First: Middle Int: Last:

Address:

Street:

City: State: Zip: -

County
(Not Country)

SSN (Last 4 Digits Only):

Phone:

Email:

City of Birth:

State required info (Used on Certificate)

Date of Birth (MM/DD/YYYY) Hair Color: Eye color:
Height Feet: Height Inches:

	USPS® Public Relations Survey
	Female Male State of Birth: How many years have you been boating?
	Boat type: None Outboard I/O Inboard Sail PWC Paddle
	Boat length: Under 16' 16-25' 26-39' 40-54' 55' up Do you trailer your boat? Yes No
	How did you hear about this course?:

Any Questions or Comments?:

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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. To preclude any missing information our Squadron is looking ahead to comply with all State requirements. Once you have completed this course and have passed the examination, you will be given a Certificate of Completion (Good for Continuing Education Credits) as proof that you have successfully completed and passed the course. Also for Safe Boating you will be issued a signed Wallet Card attesting to completion of a proctored ' Safe Boating Course ' for NASBLA. This card is valid in ANY state requiring a Safe Boating Certificate. 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.