2007 Field Day Entry Form2007 Rules
Complete this form and click on the Submit button at the bottom of the page to submit your 2007 Field Day entry to the ARRL for review and tabulation. You can access a help page by clicking on the ? next to an item on the form.
Call Used ? GOTA Station Call ? ARRL/RAC Section Select----------ConnecticutEastern MassachusettsMaineNew HampshireRhode IslandVermontWestern Massachusetts----------Eastern New YorkNew York City-Long IslandNorthern New JerseyNorthern New YorkSouthern New JerseyWestern New York----------DelawareEastern PennsylvaniaMaryland-DCWestern Pennsylvania----------AlabamaGeorgiaKentuckyNorth CarolinaNorthern FloridaSouth CarolinaSouthern FloridaWest Central FloridaTennesseeVirginiaPuerto RicoVirgin Islands----------ArkansasLouisianaMississippiNew MexicoNorth TexasOklahomaSouth TexasWest Texas----------East BayLos AngelesOrangeSanta BarbaraSanta Clara ValleySan DiegoSan FranciscoSan Joaquin ValleySacramento ValleyPacific----------ArizonaEastern WashingtonIdahoMontanaNevadaOregonUtahWestern WashingtonWyomingAlaska----------MichiganOhioWest Virginia----------IllinoisIndianaWisconsin----------ColoradoIowaKansasMinnesotaMissouriNebraskaNorth DakotaSouth Dakota----------MaritimeNewfoundland/LabradorQuebecOntarioManitobaSaskatchewanAlbertaBritish ColumbiaNWT/Yukon/Nunavut----------Outside US/Canada
Club or Group Name (Class A, B or F only) ?
Number of Participants ? Number of Transmitters in simultaneous operation ?
Entry Class (check only one):
A. Club or non-club group portable ?B. 1 or 2 person non-club group portable ? List calls of operators C. Mobile ?D. Home station commercial power ?E. Home station emergency power ?F. EOC Station ?
Power Source (check all that apply):Generator Commercial mains Battery Solar Other (list)
Power Multiplier (check only one):
5 Watts or less and Battery powered = 5 150 Watts or less = 2Over 150 Watts = 1
Bonus Points claimed: Check each box as appropriate and include required proof of points with your submission. All bonus points will be verified at ARRL HQ and added to your score.
100% Emergency power ?
Media Publicity ?
Set-up in Public Place ?
Information Booth ?
NTS message to ARRL SM/SEC ?
W1AW Field Day Message ?
Formal NTS messages handled ? — No.
Natural power QSOs completed ?
Site Visit by invited elected official ?
Site Visit by invited served agency official ?
Youth participation ?Number of youth participants who completed at least 1 QSO: Total number of youth participants:
Non-Traditional Demonstration modes (list each): ?
Note: Bonus points for satellite QSO, GOTA QSOs and web submission will be automatically determined from info entered elsewhere on this form.
Band/Mode QSO Breakdown: ?
CW
Digital
Phone
QSOs
Pwr(W)
160m
80m
40m
20m
15m
10m
6m
2m
1.25
Other
Satellite
For GOTA Bonus, list names, calls and number of QSOs for each GOTA station operator: ? Check for GOTA coach extra credit ?
Name
Call
1
2
3
4
5
6
7
8
9
10
I/We have observed all competition rules as well as all regulations for amateur radio in my/our country. My/our report is correct and true to the best of my/our knowledge. I/We agree to be bound by the decisions of the ARRL Awards Committee. Submission of this form indicates my/our agreement with these statements. ?
Name Call E-mail Address
Mailing address:48 MARLISE DRIVE ATTLEBORO, MA 02703
Comments/Additional Explanation:
Are you submitting supporting documentation to the ARRL as part of your entry: Yes No
If yes, check method of submission:
E-mail to: fieldday[at]arrl[dot]org
Mail to: Field Day, ARRL, 225 Main St., Newington, CT 06111 USA