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Register for PE


If you would like to register for a Public Education course, please fill out and submit the form below.

 Please Verify All Entries Before Clicking Submit

  Name:
  

Address Line 1: 
Address Line 2: 

City:

 State:   Zip Code:

 E-Mail Address:
  

 Phone Number:
  

Course Requested:

 
GPS for Mariners  
   
   
   
 

Course Date / Designation:
 

Persons Attending (Select All That Apply):

   
     

How did you find out about this course? (Optional)

Flyer
Newspaper / Public Announcement Word of Mouth                          
Other  

Boating Experience (Optional - Check All That Apply):
 

Number of Years Boating (Optional): 

Boating Courses Completed:

 
  Sailing Skills & Seamanship
   
   
  Other

Comments / Additional Info: