1.Callsign

2.Name: (First & Last)

3.Are you available to will participate in our Drill this Thursday, March 28th from 8:30am to 11:00am ??

Yes, I will participate, I would like to deploy to CC Emergency Opertation Center. (EOC)

Yes, I would like to deploy to Fawcett Hospital.

Yes, I would like to deploy to ShorePoint Punta Gorda Hospital.

Yes, I would like to deploy to ShorePoint Port Charlotte Hospital.

Yes, I would like to deploy to Englewood Hospital.

Yes, I would like to deploy with a UHF/VHF GoKit. (location is your choice)

Yes, I would like to deploy with a HF 7100 GoKit. (location is your choice)

Yes, I will participate from my home/mobile/work location here in Charlotte County area. (Please answer Net Controller question below)

No, I am not able to participate.

4.I will operate from Home and would like to be a Net Controller, verifying contacts for a Repeater

WX4E - UHF/VHF Net Controller

W4DUX V1 - VHF Net Controller

N4EAR - VHF Net Controller

NXDN - Net Controller

5.Do you have a computer configured with up-to-date versions of WinLink and VaraFM. I can use my computer to send/receive emails. (plan on using your radio at home or Telnet via the internet)

Yes

No

6.I have a NXDN Radio that I can use for this drill.

Yes

No

7.Other General Comments: