The Basic Boating Course is offered to the public one to two times per year. The Instruction is free, however, there is a charge for materials. Upon successful completion of the course, qualifies the individual to apply for the Safe Boating Certificate issued by the State of Connecticut Department of Environmental Protection. 

 

Date mm/dd/yy :

LAST NAME (s):

FIRST NAME (s):

Address:

City, State, Zip

Best Telephone Contact Number:

e-Mail address

Boat Type Select 1

 


Ignore if None selected above. Boat Length select 1

 

 

Desired Class Select 1

 

 COMPLETE, PRINT & MAIL APPLICATION TO:>

 MIDDLETOWN POWER SQUADRON
P.O. BOX 61
PORTLAND, CT.  06480

Attention: Education Officer