school club roundup

School Club Roundup Submission Form

Note: All fields with an asterisk (*) must be completed before submission.

Date:
Callsign Used:	*
Entry Class:	*

Chief control operator, trustee or faculty advisor information
Name:	*
Call Sign:	*
Title:
Address 1:	*
Address 2:
City:	*
State:	*
Country:	*
Zipcode:	*
Night Telephone:	XXX-XXX-XXXX
Email:	*

School/Club information
Club Name:	*
School Name:
Address 1:	*
Address 2:
City:	*
State:	*
Country:	*
Zipcode:	*
Day Phone Number:	XXX-XXX-XXXX
Fax Number:	XXX-XXX-XXXX
Email:	*
Send Certificate to:	*

Operator Information
Number of Operators:	*
Number of Hours:	*

Contact Information
Total QSOs:	*
By Phone:	*
By CW:	*
By RTTY:	*
By Packet:	*
By PSK:	*
By Other:	*
Specify Other:
Number of US States:	*
Number Canadian Provinces/Territories:	*
Number of DXCC countries (excluding Canada, USA, AD, & HI)	*
Number of Clubs:	*
Number of Schools:	*

Log Information
Log Format:
Log Format Comments:
Enter description of log format if "other" chosen above.

Soap Box
Enter any comments here.

radio sport for students, School Club Roundup