CLASS REGISTRATION REQUIRED
To register for class, please complete the form below.
Class location - Great Oaks Adult and Continuing Education To Register call 860-4709
Name
E-mail
Tel
FAX
City
State
Zip
By submitting this application I certify that I am 16 years of age or
older
Make check
payable to : USCGAUX Flotilla 5-4 &BRING
TO CLASS
Please contact me as soon as possible regarding joining the Coast Guard
Auxiliary. or Call mailto:winddancer320@yahoo.com