Registration for Twin County RACES/EARS

(Radio Amateur Civil Emergency Service)

(Emergency Amateur Radio Service)

Registration with the local jurisdiction emergency management means that you are also a member of RACES under the Virginia Department of Emergency Management

First Name:

Last Name:

Call Sign

Street Address:

City or Town:

State:

Telephone Number:

License Class

Email Address:

ICS-100

ICS-200

ICS-700

ICS-800

ICS Courses Completed

Amateur Radio Emergency Communications Courses Completed

EC-001

EC-002

EC-003

I have participated in a Simulated Emergency Test or other Emergency Communications Training within the past three yeas.

To clear this form and start again, click here

Click here to submit your form to the RACES Radio Officer

Zip

I own a 4/all-wheel drive, ham radio equipped vehicle

County or Independent City

Cell Phone

Address 2

Hospital Certified and Background checked

Available for Local Activation Only (40 radius)

If you are modifying your information, just enter your call and change your information that requires correction and hit "submit".

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