2026 Wilmot Breakaway Ride - Amateur Radio Support
Sunday, Sept. 20, 2026, 7:00 AM - 3:00 PM

Xerox Campus Webster, NY Map.  Wilmot Cancer Institute Event Webpage , Preliminary Ham Information
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.
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First Name *
Last Name *
Call Sign *
If unlicensed, please enter "None".
Email Address *
Phone number (use dashes) *
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.
Can the above number accept text messages?
Clear selection
Are you a member of any of the following clubs? *
Required
T-Shirt Size
Clear selection
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.
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 Bailey R. campus), rider help-line phone operators, and more. If so, please explain 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.
Time Restriction
The amateur radio involvement in this year's event 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.)
Comments
Please leave any other comments, questions, or concerns below (and APRS callsign/SSID if applicable).
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