Kentucky ARES Registration

Kentucky ARES Registration

Thank you very much for having the desire to serve your community, and help to fulfill Amateur Radio's FCC mandate of public service in time of emergency. Please fill out the following form, which will be forwarded to your local ARES Coordinator, and the KY Section Emergency Coordinator.If the text you are typing is longer than the form field, don't worry as the text will scroll as you type. You will receive a copy your submission.

Name:

Callsign:

Address:

City/ZIP:

Email:

County:

Phone Numbers:

Day: Evening: Cell:

License Class:

Primary Amateur Radio Interest:

Please indicate what bands you can operate the following modes: (Check all that apply)
CW:	80, 40, 20, 15, 10, 6, 2, 440 MHz
SSB:	80, 40, 20, 15, 10, 6, 2, 440 MHz
Digtial:	80, 40, 20, 15, 10, 6, 2, 440 MHz
Mobile:	80, 40, 20, 15, 10, 6, 2, 440 MHz
FM:	80, 40, 20, 15, 10, 6, 2, 440 MHz
Can your home station operate on emergency power? Yes No
What Bands?	80, 40, 20, 15, 10, 6, 2, 440 MHz

Please select training you have completed below:
KY ARES, ARRL ARECC FEMA IS-100, FEMA IS-200, FEMA IS-700, FEMA IS-800