CLASS REGISTRATION

           
           
School Name:
    District
School Type:
  Rhode Island Public Other Public Private
Contact Name:  
Title:  
School Phone:  
School Fax:  
E-Mail:  
           
School Address:  
   
   
           

           
Group Type:  
(ie: Grade, Scouts, History, Math, etc.)
           
How Many Groups?    
     
# Per Group?    
       
What is your port
of preference?
 

Newport
Providence
Quonset
Bristol/Warren

 
       
Are you interested
in a shoreside activity?
  Yes
No
 
       
Preferred Dates:
(00/00/00)
  Choice 1:
Choice 2:
Choice 3:
 
       
   
 

 

 
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