Wake County, North Carolina
ARES/RACES ON-LINE REGISTRATION WAKE COUNTY, NC
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Address:

City: State: Zip:

County:

RANK YOUR RESPONSE CAPABILITY. 1 indicated that you will be called first; 5 means that you will be called last.

Email Address:
Day Telephone#:
Evening Telephone#:
Cell Telephone#:
Pager Telephone#:
Go Kit Available?

Do you have net control station experience?

Appointed position (If any):

Specific training? Red Cross?ARRL EMCOM?

Any special skills (don't be bashful)?

Do you know your local ARES leadership and how to contact them?

Are you available to serve in an adjacent county?

Repeater owners List your repeater callsigns/frequencies, indicate if Emergency Power is available. Listing here indicated your agreement for use of your listed repeaters for ARES/RACES operations and drills.

Areas of interest:

Bands of Operation (More than one selection may apply)

HF

Do you have 160?

Do you have 80?

Do you have 40?

Do you have 30?

Do you have 20?

Do you have 17?

Do you have 15?

Do you have 12?

Do you have 10?

Duration of emergency power available HF:

Do you have a backup HF antenna?

Do you have mobile HF operation available?



VHF/UHF

Do you have 6 Meters?

Do you have 2 Meters?

Do you have 1.25 Meters?

Do you have 70 cm?

Do you have 33 cm?

Do you have 23 cm?



Do you have emergency VHF power?

Duration of emergency power available on VHF/UHF:

Do you have a backup VHF/UHF antenna?



Emission Type (More than one may apply)

Do you operate CW?

Do you operate data communication?

Do you operate any image communication?

Do you operate modulated carrier wave?

Do you operate Phone?

Do you operate Pulse?

Do you operate Radioteletype?

Do you operate Spread Spectrum?

Do you operate any test modes?

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