Hi and welcome on the Registration form for 2018 Boat Safety Courses!

Before you begin :

  1. First, you may check the timetable and course schedule;

  2. Remember that you must have your PCOC to attend the course and be over 14;

  3. Also, we would like to inform you that a 250$ deposit is required for all on board clinics, including the Safety Boat Course. The deposit will only be cashed in case of damages.

    If you have any difficulties with your registeration, don’t hesitate to contact us at formation@voile.qc.ca or to call us on 514-252-3097.
   

Personal Information

First Name(*)
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Last Name(*)
Date of Birth(*)
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YYYY-MM-DD
Email address(*)
Home Phone Number(*)
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Mobile Phone Number
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Address(*)
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City(*)
Province
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Postal Code(*)
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Club / School (complete name)
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Emercency Contact Name
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Emergency Contact Phone Number
Prefered Language
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Allergies or other conditions
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What is your Adult T-Shirt Size?
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Course selection

Do you want to follow a boat driving course ?
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Prior to attend the boat safety course, it is mandatory to have a five hour experience in driving a motor boat.If you don't, please select a course.
Choose the date of your boat driving course
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Would you like to follow a Boat Safety course?
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Which level?
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*Only instructors who have already followed the boat safety course can register for the re-certification.
Which date would you like to do your Boat Safety Recertification?
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Select your dates for the Boat Safety course
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For the courses with the new Timetable, candidates will have to attend an online course (2h30) before joining the practical course. Details and schedule will be given about a month prior to the course itself.
Do you have your PCOC (Pleasure Craft Operator Card)?
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Select the issuing date of your PCOC
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If you have not yet sent us a copy of your PCOC,
please dowload it here.
Max File Size is 500 ko !
Please name your file as follow:
name_firstname_PCOC
File must be < 500 Ko
   


Payement and Recap

Boat driving course
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$
Boat Safety Course Fee
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$
Total
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I have read and accept the terms in the Equipment User Contract(*)
Please read and accept before submitting
Terms and conditions - French onlyDocument icone
Please check to agree(*)
Please check to accept the conditions
Please check to agree.(*)
Please check to accept the conditions
Newsletter
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Payement
Payer email(*)
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We need the email adress of the person that will pay the registration fees.
Payment mode(*)

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Name on Credit Card
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Credit Card Number
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No spaces in between number
CVV
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Code à trois chiffres derrière la carte
Card expiry date
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Acknowledgement
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Please send us a second cheque for the $250 deposit. It will only be cashed in case of damages for which the candidate is responsible, and will otherwise be destroyed after the clinic.
(Should you rather not give your credit card number on this form, please call our office at 514-252-3097 to give it to us over the phone.)
Please copy the text to help us reduce the spam(*) Please copy the text to help us reduce the spam
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