2021 Holiday Science and Technology Days RMSC - Amateur Radio Support
This year's RMSC Holiday Science and Technology Days will be held in conjunction with the RDXA and XARC.  This event will be held Monday Dec. 27 through Wednesday Dec. 29 and our plan is to staff 3 days of the event.
Ham Info https://www.rochesterham.org/public_service.htm
Event Website http://www.rmsc.org/science-museum/programs-and-events
Event Location: https://goo.gl/sM44m6

This form will be used to collect Amateur Radio volunteer support information used to schedule participants for the event
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First Name *
Last Name *
Amateur Radio Callsign *
If unlicensed, please enter "None".
Email Address *
Phone Number *
Phone Number (Day of the Event) *
This is a number that the event coordinator can use to contact you on the day of the event if we are unable to reach you via the radio.
Can the above number accept text messages? *
What days are you available to help?
You are welcome to sign up for a single or multiple days
Time Restriction
The amateur radio involvement in this year's event will likely span from 10:00am until 3:00pm.  Please list any time restrictions you may have (ie, need to secure at a certain time, etc.)
Preferred Assignment
Please list any equipment or experiments that you would like to demonstrate. If so, please comment below.
Health Considerations
Do you have any limitations which may prevent you from being assigned to certain roles? If so, please explain below.
Emergency Contact Information *
Please provide a name, phone number(s), and relationship to you of an emergency contact person, to be used if you are taken ill.
Are you a member of any of the following clubs? *
Required
Comments
Please leave any other comments, questions, or concerns below (and APRS callsign/SSID if applicable).
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