2017 Tour de Cure - Amateur Radio Support
Saturday, June 10th, 2017, 0600-1600 Hrs.
Tour de Cure, Webster Xerox Campus, 800 Phillips Rd, Webster, NY 14580 . (Take Chiyoda Dr. to the corner of Panama Rd.) Map https://goo.gl/7wawg9

This form will be used to collect Amateur Radio volunteer support information used by Net Control during the event, and to coordinate assignments to the various radio amateur volunteer roles. Information provided will only be sent to the Radio Event Captain and the RARA Public Service Coordinator.

First Name
Your answer
Last Name
Your answer
Call Sign
If unlicensed, please enter "None".
Your answer
Email Address
Your answer
Phone number (use dashes)
Your answer
Day of Event mobile number (use dashes)
This is a ph.number that Net Control can use to contact you on the day of the event if we are unable to reach you via the radio.
Your answer
Can the above number accept text messages?
Are you a member of any of the following clubs?
Required
T-Shirt Size
Transportation
Please select the mode(s) of transportation that you will have available to you for the day of the event.
Required
Radio Capabilities
Please check all radio capabilities that you will have available to you for the day of the event.
Required
Are you willing and able to transport participants if necessary?
Required
Vehicle Information
Please provide make, model, color, and license plate number.
Your answer
Preferred Assignment
Do you have a preference as to your assignment for this year's Tour? Roles include SAG wagon driver (transporting riders from rest stops back to start/finish line), sweeps (sweeping the race course looking for riders in need of assistance), runners/start-finish line (on-site at the Xerox campus), rider help-line phone operators, and more. If so, please explain below.
Your answer
Health Considerations
Do you have any limitations which may prevent you from being assigned to certain roles? If so, please explain below.
Your answer
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.
Your answer
Time Restriction
The amateur radio involvement in this year's Tour will likely span from 6:00am until 4pm (tentative). Please list any time restrictions you may have (ie, need to secure at a certain time, etc.)
Your answer
Comments
Please leave any other comments, questions, or concerns below (and APRS callsign/SSID if applicable).
Your answer
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