Course Enrolment Form

Boatschool - Shed 3, North Wharf Rd. Docklands

MELWAYS REF: 2E C7

Please select the course you are interested in:

*Course Name
*Date Preferred

Please provide the following information:
*IMPORTANT: This is how it will be on your Boat License.

* Required Fields
*First Name
*Last Name
*Street Address
*City
*PostCode
	Please enter your phone numbers including area code & without spaces as shown in red below:
Phone	e.g. 0454123123
*E-mail
*Date of Birth
Driving Licence Number
Under the Privacy Act, the individual’s registration details stated on this form will only be used for issuing a training certificate for the purpose of applying for a Victorian Recreational Boating License. However, Marine Safety Victoria have requested the phone and email details of course participants. * Do you give your permission for the training provider to supply Marine Safety Victoria with your phone and email details?

Your booking is subject to a vacancy & confirmed at the time of receiving your enrolment form.
The fee is for training, assessment & the certificate. You pay the license fee to VicRoads when you get your license.
Complete the enrolment form with your full details that must match those on your Driving License or similar identity document.
Bring photo I.D. (Drivers License etc...) Proof of I.D. is essential.
Click on Submit Form.
Click HERE for location map.