BOATWISE - CAPTAINS LICENSE CLASSES, 6 PAK, OUPV AND COAST GUARD LICENSES

Boatwise Registration Form

Print Name:________________________________________ Phone:________________
Print Address:____________________________________________________________
City:______________________ State:____________________ Zip:_________________
E-Mail:__________________________ Date of Birth:_____________________________
Name of additional students
____________________________________________________Date of Birth:__________
____________________________________________________Date of Birth:__________
____________________________________________________Date of Birth:__________
Select:

Class Date(s): ____________________

Class Location: ___________________

Class Type: ______________________

Deposit Requirements:

[ ] Safe Boating Basics $25.00
[ ] GPS/Chartplotters $25.00
[ ] Radar $25.00
[ ] Basic Coastal Navigation 25.00
[ ] Advanced Coastal Navigation 25.00

[ ] Captain's License (OUPV) 200.00
[ ] Master 100 GT License 200.00
[ ] Master 100 GT Upgrade License 100.00
[ ] Launch Operator's License 100.00

Refund Policy: Students will forfeit their deposit if cancellations or reschedules are made within 14 days of the start of class.

PLEASE CALL 800-698-7373 TO CONFIRM SEAT AVAILABILITY BEFORE SENDING ANY DEPOSIT.

THANK YOU!

Boatwise, LLC
72 Woodman Rd.
So. Hampton, NH. 03827
Tel: 800-698-7373
Fax: 603-394-0418
E-Mail: captains@boatwise.com