Student Enrolment Form

User registration
Gender
Current address (as it appears on your ID)
Current address (as it appears on your ID)
Address line 1
Address line 2
City
State
Post code
Course Title
(tick both if applicable) The certificate issued by Adam's Boat Course has a 12 month expiry so you can attend the course before you turn 12 or 16 respectively taking into consideration the certificate has a 12 month expiry)

Evidence of Identity

Do you have a driver's licence
Licence Front Upload
Maximum upload size: 10MB
Licence Back Upload
Maximum upload size: 10MB

If you do not hold a drivers licence you will be required to provide two forms of ID from the list allowed by Maritime Safety Victoria. Click here to see the Evidence of Identity Requirements.

For you to be eligible for a certificate, Adam’s Boat Course staff must sight the original identification documents detailed on this form.
If you cannot demonstrate your residency through your identification you will need to complete a Referee Statement for Evidence of Address form.

Please contact us if you are unsure about the Evidence of Identity Requirements

Proof of Identity document upload
Maximum upload size: 10MB

Section

Do you have difficulty with language, literacy & numeracy or any other aspect of learning or training?
Do you give your permission for Adam’s Boat Course to contact you for the purposes of improving training?
Are you willing to be contacted by Maritime Safety Victoria for the purposes of improving course and service delivery? (Your phone and email details will be passed on)
I have been informed by Adam’s Boat Course of the eligibility criteria to obtain a Marine Licence, as required by section 53 or 54 of the Marine Safety Act 2010 (Vic), and regulation 30 of the Marine Safety Regulations 2012 (Vic) *