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REGISTRATION FORM

USCGAUX Boating Skills and Seamanship Course
February 27, 2008
Somerset High School, Somerset, MA 

Any questions? Please email us

USCGAUX BS&S Registration Form

Fill out the following information (bold fields are mandatory) and click 'Submit'.

First Name:
Last Name:
Address 1:
Address 2:
City:
State/Province:
Zip Code:
Email Address:
Verify Email:
Home Phone:
Payment: $45 Payment by check in advance

$45 Payment at the first class

Number Attending
from my family:

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