2019 Brooklyn Half- and -Marathon HAM Radio Volunteer Online Registration Form

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Use this form to register as a HAM Radio Operator volunteer for the 2019 Brooklyn Half and Marathon on October 19, 2019

First Name *

Last Name *

Call Sign *

Street Address *

City *

State *

Zip Code *

Home Phone *

(Enter your number and include hyphens to separate the area code, exchange, and last four digits, like ###-###-####)

Work Phone

(Enter your number and include hyphens to separate the area code, exchange, and last four digits, like ###-###-####)

Cell Phone (# you will have with you on race day) *

(Enter your number and include hyphens to separate the area code, exchange, and last four digits, like ###-###-####)

Email Address *

How did you learn about this Online Registration page? *

I received an invitation via the email address I listed above

I received an invitation via a different email address

I was referred by someone

If you were referred by someone, please indicate who referred you.

Is there someone else you prefer to be assigned with? If so, please indicate name and callsign of that person

I am willing and able to operate: *

As a portable operator, on foot using an HT, etc

As a mobile operator, in an event vehicle

As a fixed operator, like a Net Control Station, Medical Tent Operator, etc

Required

I am able to bring and operate the following equipment: *

440mHz UHF Handi-Talkie (HT) with spare battery(s), etc

440mHz UHF mobile radio with magnet-mount antenna, power cord, etc

APRS (RF) mobile, including radio with magnet-mount antenna, power cord, GPS, etc

APRS-IS, via an internet-enabled smartphone and my APRS-IS account

Required

Do you have a UHF DMR radio? *

Yes

Required

If you do have a UHF DMR radio, please tell us which brand/model:

Tytera/TYT MD-380 or Retevis RT-3

Connect Systems (any model)

Hytera (any model)

Motorola (any model)

Other

If you Chose Other, Please tell us the Brand/Model of the UHF DMR radio if not listed above

If you have a UHF DMR Radio, please enter the DMR ID Number(s) of the radios you will operate during the event:

Please let us know if you have experience and/or equipment in the following ham radio technologies:

DMR

Broadband Hamnet

AREDN

APRS

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