Field Day Registration / Info. Form

Please provide the following information:

Call Sign (if ham):

Name:

E-mail:

Phone number:

CAP member

Yes

CAPID (if member)

New ham or new to Field Day?

I am a new ham

I am new to Field Day

Interest - Select all that apply:

Station Operator

Contact logger (using PC)

Help setup radio gear

Help setup antennas

Help run coax, power cables, etc.

Help setup generators

Help setup computer equipment

Help wherever needed

BBQer (state time of day below)

Just visiting: not an operator

Help setup signs, postings, etc.

CAP - CUL achievements

If operating, Select mode you prefer?

Voice

CW (Morse Code)

Number of people coming:

Additional information: