RACES - ARES - SKYWARN - CAT Application Form

What is your name?        Call sign?
Street Address?         
City?                                   Zip Code?
Phone Number?          
Email Address?           

What class ticket do you hold currently:

ARRL Member:

ARES/RACES Member:

Do you own an HT? YES NO


Frequencies Available: NOTE: You may have to hold down a key (control?) while making multiple selections

Do you own a Mobile Rig? YES NO


Frequencies Available: NOTE: You may have to hold down a key (shift?) while making multiple selections

Can you operate HF? YES NO


Which bands? Another multiple clickbox!

Other Ham Interests? Yep - another multiple click box!

Do you own a 4-Wheel Drive vehicle? YES NO


Are you available to assist on a Communications Assistance Team (CAT) in disaster areas for periods of up to one week at a time?
YES NO


Enter any special comments related to CAT activities here:

Do you have any health problems or disabilities which might restrict your activities? Describe here or state none:

Thank you very much for your input and for filling out this form!
Clear everything off and start over again! If you have any questions concerning this website, RACES, ARES, RED CROSS or SKYWARN then click the mailbox to leave email to Robin (N4HHP) and I'll get back with you as soon as possible!


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This page last updated 1 February 1999