ARES® Registration Form

Name

Email Address

Call Sign

License Class

Cell Phone

Address

City

State

Zip Code

Are you 18 years of age or older? Are you 18 years of age or older? Yes No

Have you ever been convicted of a Felony? Have you ever been convicted of a Felony? Yes No

Are you willing to take the FEMA ICS/NIMS online courses? Are you willing to take the FEMA ICS/NIMS online courses? Yes No

Can your home station be operated without commercial power? Can your home station be operated without commercial power? Yes No