Boat Safety Course Registration
Please complete the brief registration form below, so that we know the name and contact information for each registration.  Please complete this form multiple times if you are signing up multiple people.  It is also important that you mail your check after completing this form to the below address, as your registration is not complete until that is received.  All registrations and checks are due no later than Friday, March 3, 2023.  

Course:
Saturday, March 4, 2023 from 8:30 am to 5:30 pm.

Costs:
$90.00 for students
$100 for LRHS staff OR Family of a current LRHS student
$125 for the General Public

Mail Checks to:

Lakeland Regional High School
To Attn: Tim Conway
205 Conklintown Road
Wanaque, NJ 07465

More information can be found at:  https://bit.ly/3DEkLuI
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Email *
Last Name, First Name *
Address *
City *
State *
Zip Code *
Phone Number *
Please identify what category you are signing up under? *
If you are signing up as a family member of an LRHS student, please identify the student name below. 
What is your relation to the student above:
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