Knoxville Power Squadron
Boat Smart Course
Pre-registration Form
Course costs: Per person $35.00 (one book)
Two people $45.00 (one book)
12-18 years old $5.00 attending with adult
$10.00 attending without adult
Course Date: ____/_____/_____ Course Location: ______________________
Amount paid $___________ ( Make checks payable to Knoxville Power Squadron)
Name (s) _______________________________________________________
______________________________________________________________
Email address: __________________________________________________
Address: ______________________________________________________
______________________________________________________
Phone: Day _____________ Evening _____________ Cell _____________
MAIL TO: Knoxville Power Squadron
C/O Janene Allen
9145 Sway Branch Lane
Knoxville, TN 37922