Children  Powerboat Courses Registration

            Safe Powerboat Handling for (Students Name).............................................         On Date…………………                                                  

            Basic Seamanship for (Students name).......................................................            On Date…………………  

            I enclose check no.............                            For amount......................................

            Phone Number........................................

            Email .......................................................

            Parents address:………………………………….................................................................................

            Parent Signature  ....................................................................

    Please return form with Payment to Premier Sailing, PO Box 779, Irvington, VA 22480.

    Tel: 804 438 9300   E-mail: info@premiersailing.com       www.premiersailing.com

Premier Sailing 2009

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