Field Day Signup Form

First Name *

Last Name *

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Will you be operating on Field Day?

I will be operating on Field DayI will not be operating on field dayIf you are operating when you submit your log make sure you indicate the Club Call Sign KC2RC so we get

Email Address *

Help load the truck at N2RGA's house on June 24th 7:00 A.M.? *

YesNo2042 east 65th street, Brooklyn NY 11234

Help Set-up at Floyd Bennett Field on June 24th at 9:00 A.M.? *

YesNo3159 Flatbush Ave, Brooklyn, NY 11234

If you be bringing equipment? if Yes, What equipment? Please list here.List equipment here

Can you operate stations on Saturday?

YesNo

Can you operate stations on Sunday?

YesNo

Assist with Take-Down, starting 2 P.M. on Sunday June 25th.

YesNo

Help unload the truck at N2RGA's house at 3-4PM. June 25th?

YesNo

Comments:Any Comments?

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