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ARES Group Registration

ARRL Emergency Coordinators may submit their request for their groups ID using this form.

Today's Date *

Mailing Address 1 *

Mailing Address 2

City *

State / Territory *

Zip *

Name of ARES group *

Group Call Sign

Group Phone number

Primary Contact Name *

Primary Call Sign *

Primary Email *

Primary Phone *

Secondary Contact Name

Secondary Call Sign

Secondary Email

Secondary Phone

Coverage Area *

CityCountyDistrictSectionState

Description of Area Covered *

Mostly RuralSmall / Medium CityLarge CityMajor Metro AreaCollege or University

Year ARES group established (if known)

Enter links

Facebook

X

Instagram

Website Address

Meeting Location

Meeting days and time

Does the ARES group have a primary repeater they use? *

YesNo

If yes what is the repeaters frequency in MHz

List primary frequency only

PL Tone

Partners *

Red Cross Emergency Management National Weather Service / SKYWARN Law Enforcement Fire / EMS Hospital State Agency Other

Check all that apply

Does this Group participate in a COAD or State VOAD? *

YesNo

Does this group have a partnership with a general interest Amateur Radio club? *

YesNo

Name of person submitting this form *

Submitter's Call Sign *

Submitter's Field Org. title (EC or DEC) *

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Tel: 1-860-594-0200 | Fax: 1-860-594-0259
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