Fayette County ARES Registration:

Please use the following form to register for Fayette County ARES. Information transmitted is sent to Fayette County ARES Coordinators.

Because ARES organzations are organized at local county level, please only use this form if you live in Lexington, Fayette County.

If you wish to register for ARES and live outside of Fayette County, please click here to use this form.

Submission Type:
I am a New Member I am Updating My Information
Name:
Callsign:
Address:
City/ZIP:
Email:
    
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
The following optional questions serve to determine your availability on the telephone tree.
Employment Time: Day Night Rotating Shifts Retired Student
Can you leave work in an emergency where ARES is activated?
Yes No
Can you particpate in a government exercise during the work week?
Yes No
Can you respond from home in an emergency?
Many people have obligations like caring for a family member, or children.
Yes No
During an emergency, can you be away for more than 2 days?
Yes No
 
What is your experience as an amateur radio operator?
As an Amateur Radio operator, have you...?
Do you have experience as a Net Control Station?
Yes No
Do you have experience in passing NTS traffic?
Yes No
Do you participate in 2 or more nets a month?
Yes No
Have you ever participated in a formal Skywarn operation?
Yes No
Have you ever worked at an agency operations center?
Yes No
Are you able to take an assignment in the field during a disaster?
Yes No
Are you able to take an assignment from your home station in a disaster?
Yes No
Have you ever worked with the Red Cross or Salvation Army?
Yes No
Emergency Contact Information:
The following optional questions recognize that you may be working in a disaster environment. As such there may be occaision for us to share emergency contact information with authorities in the event you are injured.

Name, Address, and Phone of a local emergency contact:

Name, Address, and Phone of an out of town family member.
Vehicle Information:
If you are a Skywarn field spotter or respond to disaster scenes, there may come a time that it would be to your advantage to share your vehicle information with us so that we can send help for you in the event you are injured and we can't make contact with you. This information is optional.

Please provide the information in the following format to fit our roster layout:
Color, Year, Make, Model, License
Example: Red 1995 GMC Sonoma XXX-111
Vehicle 1:
Vehicle 2:
Vehicle 3:

Special Circumstances:
Your safety is the first priority and we don't want to place you in a situation where you could suffer illness/injury because we were not aware of a particular aspect of your well-being. Please list any circumstance, or condition that you would like for us to know about. These would include medical conditions, fear of certain circumstances (heights, water, etc. Fear is normal, and smart.)

We ask this question to address your specific needs. All information will be treated as confidential.

Comments:

 
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