Pumpkin Patrol RARA Sign-up Form
This year's Pumpkin Patrol will take place on Sunday October 30th and Monday October 31st, 2016 along bridges over the NYS Thruway in conjunction with the NYS police.

Ham Info http://rochesterham.org/PublicService/PumpkinPatrol.htm
Event Media Info http://www.whec.com/article/stories/s3606956.shtml

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 volunteer radio support roles. It is OK to contact the event coordinator through his email as well./ Feel free to sign up multiple ways.

First Name
Your answer
Last Name
Your answer
Amateur Radio Callsign
If unlicensed, please enter "None".
Your answer
Email Address
Your answer
Phone Number
Please provide a number that you can be reached prior to the event. Eg. xxx-xxx-xxxx
Your answer
Radio Capabilities
Please make sure you have a 2 Meter radio with PL capabilities, preferably a mobile radio.
Required
Cell Phone Number (Day of the Event)
This is a cell number that Net Control can use to contact you during the event if we are unable to reach you via the radio. Eg. xxx-xxx-xxxx
Your answer
Can the above number accept text messages?
Oct. 30th Availability?
This event will likely span from 7:00pm - midnight, we ask that you volunteer that full time span.
Oct. 31st Availability?
This event will likely span from 7:00pm - midnight, we ask that you volunteer that full time span.
Preferred Assignment
Do you have a preference as to your assignment for this year's event? If so, please explain below. There are no guarantees and previous, long time participants who have handled a certain location do get preferance to that location.
Your answer
Transportation
Please select the mode(s) of transportation that you will have available to you for the day of the event.
Required
Vehicle Information
Please provide plate #, make, model and color of your vehicle. Enter "None" if no transportation.
Your answer
Partner up?
If you care to partner up with a new ham or some w/o transportation such as a college student, please specify.
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
Are you a member of any of the following clubs?
Required
Comments
Please leave any other comments, questions, or concerns below.
Your answer
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