ONE DAY SUDDENLY IN COMMAND COURSE REGISTRATION

NAME___________________________________________AGE_____PHONE____________

ADDRESS________________________________________CITY____________ZIP________

YRS BOATING_________EMAIL________________________________________________

BOAT TYPE: POWER______ IB____ OB_____ IO _____ SAIL_____PWC _____ LENGTH _________

IF UNDER AGE 16, NAME OF PARENT OR GUARDIAN:

NAME____________________________________PHONE NO. ____________________

HOW DID YOU HEAR ABOUT THIS COURSE? ______________________________________

INTERESTED IN JOINING THE AUXILIARY? YES___ NO ___ MAYBE ___

DATE REGISTERED______________ FOR COURSE DATED -  Check Back ____

PAID: 25.00 CHECK #_______CASH___________RCD. BY_____________________

PLEASE MAKE CHECKS PAYABLE TO: BRANFORD FLOTILLA 17-01 INC.

RETURN BY MAIL ONLY TO:
DO NOT HAND DELIVER!!!

Branford Flotilla 17=01
P.O. Box 916
Branford, CT., 06405

SORRY – NO REFUNDS UNLESS CLASS IS FULL. NO WALK INS ON DAY OF CLASS. THERE WILL BE NO REGISTRATION AT THE DOOR. ALL SEATS ARE PRE-REGISTERED.
-------DO--NOT--DETACH.-------THIS-WILL-BE-RETURNED.-------YOU-MUST-BRING-THIS-TO-CLASS.---------THIS-WILL-BE-RETURNED-------DO--NOT--DETACH.

QUESTIONS? CALL THE BRANFORD FLOTILLA BASE: 203-488-5349

LEAVE A MESSAGE ALONG WITH A PHONE NUMBER AND THE BEST TIME TO CALL.

CONFIRMATION FOR:____________________________________NO_____

ONE-DAY COURSE –  7 PM TO 9 PM

PAYMENT AND PRE-REGISTRATION IS REQUIRED. FIRST COME - FIRST SERVED. NO REGISTRATIONS AT THE DOOR.

HIGHLIGHTER – PENCIL – NOTEPAD SUGGESTED. YOU MUST BRING THIS CONFIRMATION TO CLASS.