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If you are interested in becoming a member of the Flotilla or have questions for our Flotilla Staff Officer - Human Resources, please fill-out and submit the following form.

 Please Verify All Entries Before Clicking Submit


You must by a citizen of the United States, its territories, or possessions, and be at least 17 years of age or older to join.

Are you a citizen of the United States, its territories, or possessions?
   

 Are you 17 years of age or older?
    

 Have you ever been convicted of a Felony (If yes, please provide information below)?
   


 Name:
  

Address Line 1:
Address Line 2: 

City:

State:  Zip Code:

 E-Mail Address:
  

 Phone Number:
  

 Are you a boat owner? (Optional)
 

 Boat Location (Optional)
  

 Main Areas of Interest (Optional)  
Public Education
  Administrative Support


Improving Boating Knowledge and Skills Other (Specify Below)
 
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