Thank you for your interest. This form may be used to inquire about
and/or pre-register for the:

Peconic Bay Power Squadron
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America's Boating Course-8hr which starts on Sat 09 MAR 2019 at 8:00 AM
Pace's Restaurant At Strong's Water Park
2255 Wickham Ave., Mattituck, NY

(Member Price is $50)
(Non-Member Price is $50)
Your Price is $50

Additional Notes

Two classes on Saturdays, 8:00 AM to Noon. Four hours each
on 3/9 & 3/16. Final exam on 3/16/19. Bring $50.00 cash or
check to first class.

 

 
 Please check as many  options as apply

Please send me information about this boating course
Please contact me, I have questions I would like to discuss
I am interested in registering for this boating course

 


USPS charges only for materials and facilities. Our instruction is provided by certified volunteer instructors at no additional charge.

Each squadron has its own registration process. Pre-Registering indicates a desire to register before the course begins. If necessary, squadron course manager will contact you with the details of the registration process. If not, you are registered: We will see you at the class.

Any information you provide will be treated as private. See our privacy statement for details.
  Check, if you do not want to receive information from our associated boating partners.

The United States Power Squadrons seeks to make all our offerings available to those with disabilities. If you have a disability and require assistance, please use the Questions/Comments field to communicate your needs to the Boating Course contact.
 

 USPS® Boating Course Registration/Inquiry

 First Name:      MI:       Last Name:
 Nick Name:      Use Preferred:   
 Street Address:     Non-US
 City:       State:        Zip:     
 Phone:      Ext:   
 Email:
 Questions/Comments:
   
 State Required Info: Date of Birth (mm/dd/yyyy):  / /
  Male Female Hair Color:   Eye Color:   Height: ft in
The following information helps us tailor our boating courses to the needs of the students.

USPS® Public Relations Survey

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       YEARS BOATING:   
HOW DID YOU LEARN ABOUT THIS COURSE?      CHECK THE ONE THAT BEST APPLIES.
Newspaper/Magazine TV Radio Internet Booth at Show/Mall Word of Mouth
USPS Poster/Literature Other: