Wise County Skywarn Survey Form

Name:

Your name is required

Callsign:

Address

Your address is required

City

Your city is required

State

Your state is required

Zip

Your zip is required

Email:

A valid email address is required

Home Ph

Work Ph

Cell Ph

Spotter Capabilities

Home

Mobile

Cell Phone / Internet

Skywarn or Related Weather Spotting Training (List):

First Responder

Current / Past First Responder Employment / Training:

ARES Member

RACES Member

RACES No:

HF / VHF-UHF / Handheld Radios (List):

Antennas (List):

Emergency Power Type: