REGISTRATION FORM
Please enter your information below to register for the Boating Basics class. This class is designed for ages 12 and up. Children under the age of 12 are not eligible to take the exam. Anyone under the age of 16 will need to be accompanied by an adult 18 years of age or older. This class is being offered free of charge. You will need to bring a notepad and something to write with. Please make sure you have your driver’s license with you or your social security number if you don’t have a driver’s license. If you just need a refresher you can attend one of these courses as well.
This class is being presented by the Alabama Law Enforcement Agency and hosted by the Cherokee County Emergency Management Agency.
NAME: *
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ADDRESS: *
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CONTACT NUMBER: *
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DATE OF BIRTH? *
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HAVE YOU EVER TAKEN A BOATING BASICS OR BOATING SAFETY COURSE BEFORE? *
WHICH CLASS WILL YOU BE ATTENDING? *
STATEMENT OF UNDERSTANDING: *
BY TYPING MY NAME BELOW I UNDERSTAND THE INFORMATION PROVIDED ABOVE WILL NOT BE USED FOR ANY PURPOSE OTHER THAN REGISTERING FOR THE CLASS DESCRIBED ABOVE. I UNDERSTAND MY INFORMATION WILL NOT BE SHARED WITH ANY ORGANIZATION OTHER THAN THE ALABAMA LAW ENFORCEMENT AGENCY OR THE CHEROKEE COUNTY EMERGENCY MANAGEMENT AGENCY.
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