Registration

A Surfaquarium Accredited Course
Completely online!

Course Registration

To register, complete this online form
and mail the $100.00 fee to:

Walter McKenzie
PO Box 52
Merrimac, MA 01860

or submit the form and then
pay by credit card using PayPal:

Name:

Title:

E-mail Address:

Street Address:

Daytime Phone:

Section:

Graduate Credits? Yes No

Incomplete applications can not be considered.

If your browser doesn't support online forms,
click here for a printable registration application.