DCARES Membership Registration Form

DAVIDSON COUNTY AMATEUR RADIO EMERGENCY SERVICE

Please complete the form below to sign up
Davidson County Amateur Radio Emergency Services exists to organize, develop and maintain a group of amateur radio operators who are skilled and trained to provide emergency communications support in Davidson County, Tennessee. DCARES provides a focused and rigorous approach to training, exercises and drills for the purpose of developing each member to their full potential.

We are continually looking for new members who are willing to use their amateur radio skills to serve the public in Davidson County. If you are interested in being a part of our team, fill out this Membership Application and join us on the air during a weekly net or in person at a monthly meeting. We look forward to hearing from you, and hope to meet you in person soon.
Member Name*

First NameLast Name
FCC Call Sign*
Do you live or work in Davidson County, Tennessee?*

Live In Davidson CountyWork in Davidson CountyNo
If you do not live or work in Davidson County, Tennessee, enter the county you live in below and a brief statement on your desire to join DCARES:
Cell Phone Number:*
Do you agree to receive text and phone calls to your cell phone?*

YESNO
Email Address
Home Address:*

Street Address

Street Address Line 2

City

Zip Code
Have you completed any of the following FEMA courses?

IS-100 (ICS Introduction)IS-200 (ICS Single Resources)IS-700 (NIMS Introduction)IS-800 (NRF Introduction)Other
Have you completed any of the following courses?

Basic Skywarn Spotter (NWS Training)ARRL EC-001 (Intro to Emergency Comms)Communications Unit Leader (COML)AUXCOMMOther
Are you currently a Red Cross Volunteer?*

YESNO
Operational Capabilities

HFDIGITALUHF/VHFWINLINKMARSOther
Type Capabilities

FIXEDMOBILEBATTERYGENERATOR
What Type of Equipment Due You Have?

HTMobile RadioFixed Home RadioHF AntennaOther
If necessary, would you be able to deploy within Davidson County in the event of an emergency activation?*

YESNODepends on emergency and length of deploymentOther
MEMBER REQUIREMENTS
The following requirements have been set for DCARES membership:
1. Live or work in Davidson County, Tennessee. Exceptions can be made on a case by case basis.
2. Each member must check in to a minimum of THREE RF nets per quarter
3. Each member must participate in one DCARES event (monthly meetings do not count toward requirement) or one sanctioned non-DCARES event yearly.
4. Membership is yearly (January – December) and must be renewed each year by the member with approval from the Emergency Coordinator.
Examples of Events that meet Criteria:
DCARES Workshop
Field Day
Jack and Back Bike Ride
Skymont Horseback Ride
Any Bike Ride event
DCARES antenna crew (tower raising, tower disassembly)

Other Qualifying Non-DCARES Events:
TEMA Auxcom Event
NWS Severe Weather Awareness Day
NWS Spotter classes
Other DCARES training events that will be scheduled and identified
FEMA ICS online Classes (not just 100, 200, 700, 800)
FEMA Classroom Training
Members can request that events be considered for inclusion
Agreement*

I have read, understood, and accepted the rules for membership.
Signature of Member *

Clear
Should be Empty:

DAVIDSON COUNTY AMATEUR RADIO EMERGENCY SERVICE