Course Registration

I/We wish to register for the following courses: as outlined on our web site http://kingston.cps-ecp.org/

 ___Boating
 ___Global Weather

 ___Piloting
 ___Advanced Piloting
 ___GPS

 ___Boat Pro (indicate date of birth)_____________________

Name
Street Address
City ProvPCode
Home Phone* Work Phone*
Email*
Confirm Email
(* = required)

Name (second person)
Street Address
City ProvPCode
Home Phone Work Phone
Email
Confirm Email

BEFORE SUBMITTING, PRINT OUT TWO COPIES - ONE FOR YOUR RECORDS, ONE TO MAIL WITH CHEQUE

CONFIRMATION
We will confirm receipt of this form via email.
Print this form and mail with your cheque payable to:
Kingston Power & Sail Squadron
1st/LT. Hendrik Gaveel, S.T.O.
1 Mowat Ave., Apt 504, Kingston, Ontario K7M 1J8

You are not registered until mailed form and cheque have been received