Bellevue Sail and Power Squadron
a unit of United States Power Squadrons ® America's Boating Club ®

 

Boating is fun ... we'll show you how

 

 

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Student Instructions: Please complete both parts of the form. Each section has a unique purpose within USPS. USPS keeps student files confidential. For upcoming class schedules and locations, click here.

 

USPS® Safe Boating Course Registration

 

 I am registering for  

 

Note: If you submit multiple registrations for family members that will attend with you, please use a unique name for each student.

Last Name

     First Name         MI   
Street Address   
City    State     Zip Code    
Phone Number E-Mail Address*    

*A valid email address is important for us to be able to communicate with students prior to and during the class. The address you supply WILL NOT be used for any other purpose.

 

 

USPS® Public Relations Survey

 

                                   MALE    FEMALE                                Date of Birth:                                

 

 BOAT TYPE:                       None   Outboard   Inboard/Outboard   Inboard   Sail   Personal Watercraft

 

 BOAT LENGTH:   Under 16'   16' - 25'   26' - 39'   40' - 54'   55' And Over


 DO YOU TRAILER YOUR BOAT?:                       Yes    No           Years Boating:                      

 

 HOW DID YOU LEARN ABOUT THIS COURSE?

 

The Magazine TV Channel
The Shopper Radio Station
The Newspaper A Poster/Flyer
The Website  

 Other

 

 

 

 

 

           

 

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For problems using this site, please contact our webmasters, Lt. Jennifer Hamilton and Lt. James Hamilton.