Retailers

Student Details

Attendee's name if different than the buyer

Student's Name *

Student's Email Address *

Phone *

Store Name *

Course Selection

Course List *Connecticut Safe Boating Certificate Course

Contact Information:THE EMAIL THEY PROVIDE SHOULD BE ONE THEY USE AND CHECK FREQUENTLY. This will be the email used for all communications from this point moving forward.

Scheduling NoteThe student simply responds to the email with their class of choice. THIS DOES NOT NEED TO BE TODAY, they can go home figure it out and get back to us at their convenience. When they do, we’ll send all required info, including Zoom links and Connecticut pre‑registration instructions, and handle any support from there

One-time Payment to ConnecticutUpon completing the course all Connecticut boaters are required to pay a ONE-TIME $50.00 FEE DIRECTLY TO THE STATE OF CONNECTICUT. This makes it OFFICIAL and they'll download their certificate immediately after payment. This fee is not included with the course fee and applies to everyone seeking certification. Students may pay at their convenience; however, every boater must obtain and carry the document at all times while operating any Class A, 1, 2, & 3 vessel.

Has the customer paid?YesNo

Retailers

Student Details

Attendee's name if different than the buyer

Course Selection

Agreement in Principle

Expectations of both parties