Field Day 2012 Signup
Use this form to sign up for Field Day 2012.
* Call Sign
* Email Address
* What time slots are you available?
 Friday evening set up (if any)
 Saturday morning (8 AM - 2 PM)
 Saturday afternoon (2 PM - 6 PM)
 Saturday evening (6 PM - 12 AM)
 Overnight (12 AM - 8 AM)
 Sunday morning (8 AM - 2 PM)
 Sunday afternoon (2 PM until complete)
Band preferences (leave blank if no preference)
 80 Meters
 40 Meters
 20 Meters
 15 Meters
 10 Meters
 6M/VHF/UHF
CW Capability
 Check if you are able to operate CW (8 WPM or faster).
Note: 20+ CW QSOs gets you all meals for free!
Check roles or bonuses that you would like to do at our Field Day (leave blank if no preference)
 Radio Operations
 Computer Network Team
 W1AW Bulletin Team
 NTS Messages
 Emergency and Natural Power Team
 Satellite Operations Team
 GOTA Coach (requires 24 hr presence)
 Registration and Public Information
 Educational Activity
 Elections Manager
 Records Managers
 Cook Tent
Can you provide equipment for our Field Day?
 Yes
If so, list equipment you could bring (radios, antennas, tuners, laptops, solar panels, satellite equipment, other items of importance)
* Number of all-you-can-eat all-weekend tickets ($20/person)
* Number of individual meal tickets ($8/ticket)
If you are bringing any guest(s) that are not amateur radio licensees, describe here
Any additional comments for the Field Day coordinators
* Agreement to event rules
 I fully understand and agree to fully abide by the Event Rules on Worcester City Property.
* denotes required field

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