Date:

1. LastName: , FirstName:

2. LastName: , FirstName:

Address:
City:
Postal Code:

Phone:
Res:
Bus:
Fax:

E-mail:

CPS Member#:
Squadron:

I wish to register for the following course(s):

Boating Course
as a Single $275
as a Couple $450

My preference of days for the Boating Course is:
Tuesdays
Wednesdays

BoatProficiency:
Course $60
Challenge $20

Advanced Piloting $130 CPS Members only

Fundamentals of Weather $95 CPS Members / $110 Non-members

Radar for Pleasure Craft $65 CPS Members / $80 Non-members

Navigating with GPS $65 CPS Members / $80 Non-members

Marine Radio (VHF) $55 CPS Members / $65 Non-members

Prices include all taxes and all study materials and are subject to change without notice.