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Boating Safety Class Registration

Dates: 03/06/2010-03/06/2010 Times: 9:00AM-4:30PM
Location: Missouri State Water Patrol GHQ
Address: 2401 East McCarty, Jefferson City, MO 65101 Phone: 573-751-3333
Registered: 0 Limit: 50

Please enter as much information as possible when filling out this form. If you did not indicate a class from the class list, your city, zip code and/or phone number might be used to help create a class in your area.

First Name:
Last Name:
Street:
City: State: Zip:
   
Home Phone: (In the format, 99999999999
Email: