Schedule a Boating Safety Education Course Complete this form to have a boating safety course added to the calendar section of the Commission's web site. * Required fields If yes is selected for "Open to the Public?" all data entered is included with the web calendar listing COURSE*   PA Basic Boating   US Power Squadron   Boating and Water Safety Awareness   USCG Auxiliary         US Power Squadron/USCG Auxiliary - provide course name CONTACT INFORMATION Name E-mail address Telephone (xxx-xxx-xxxx) Extension COURSE DATES & TIMES Select Option 1 OR Option 2, and ONLY enter information under that option OPTION 1 Single day, consecutive days or weekly recurring (if weekly recurring do NOT enter end date) Date course begins (xx-xx-xxxx)   Date course ends (xx-xx-xxxx)   Check here if weekly recurring   Number of weeks (including 1st week) OPTION 2 Choose and complete below if course is NOT single day, consecutive days or weekly Course dates (xx-xx-xxxx) Date 1 Date 2 Date 3 Date 4 Date 5 Date 6 Date 7 Date 8 Date 9 Date 10 FOR BOTH OPTION 1 & 2 If times vary enter an explanation in Additional Information box under Course Information below   Start time a.m. p.m.     End time a.m. p.m. NOTE: Enter time as 1-12 only, no military time or text. COURSE INFORMATION Location Street address City* State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington D.C. West Virginia Wisconsin Wyoming Other Zip code County* Choose a county ============ Adams Allegheny Armstrong Beaver Bedford Berks Blair Bradford Bucks Butler Cambria Cameron Carbon Centre Chester Clarion Clearfield Clinton Columbia Crawford Cumberland Dauphin Delaware Elk Erie Fayette Forest Franklin Fulton Greene Huntingdon Indiana Jefferson Juniata Lackawanna Lancaster Lawrence Lebanon Lehigh Luzerne Lycoming McKean Mercer Mifflin Monroe Montgomery Montour Northampton Northumberland Perry Philadelphia Pike Potter Schuylkill Snyder Somerset Sullivan Susquehanna Tioga Union Venango Warren Washington Wayne Westmoreland Wyoming York Out of State Sponsoring Organization   Web site for more information (leave blank if none)   Open to the Public?*   Yes     No Pre-registration required?   Yes     No Fee, if any $ Additional information about the course A confirmation message will be sent to the email address provided. After submitting this form you will be taken to the PFBC home page.