Amateur Radio Emergency Service

ARES Registration Form

Name:
Call Sign:
Street Address:
City:
County:
State:
Zip Code:
Email Address:
Home Phone:
Work Phone:
Cell Phone:
License Class: Technician
Technician w/HF
General
Advanced
Extra

Enter the bands that you can operate for each mode below (HF, 6 meters, 2 meters, 222 MHz, 440 MHz, or leave blank for none):

SSB:
CW:
FM:
Data:
Packet:
APRS:
ATV:
Mobile:
Can your home station be operated without commercial power? Yes
No
Additional comments on your emergency operating capabilities ( modes, antennas, RV, 4WD, trailers, ATV, snowmobile, etc.):

Go to TOP of form for review of input.

When your input is complete, please click on the Submit Form button. You will receive an email acknowledgement from the Olmsted County EC that your form has been received.


Put a website form like this on your site.

Questions on the ARES Registration Form format can be submitted to: Rob KCØFOW

Last update: January 4, 2012