Field Day

Last updated 10:29 ET 02/03/06
	2006 Field Day Summary Sheet


Please write legibly.  Make certain you have filled out this form 
completely and have enclosed any required dupe sheets, photographs 
and bonus claims.

Entries must be postmarked within 30 days of the end of the event 
and mailed to:

Field Day Entries
ARRL
225 Main St.
Newington, CT 06111 USA

1. Field Day Call Used _________________  GOTA Station Call ___________

2. Club or Group name (Class A or F only) __________________________

3. Number of Participants __________  

4. Number of Transmitters in Simultaneous Operation ______________

5. Entry Class: Check only one.

___  A. Club or non-club group portable
___  B. 1 or 2 person non-club Group portable
     List call of 2nd operator: ______________________________________
___  C. Mobile
___  D. Home station commercial power
___  E. Home station emergency power
___  F. EOC Station

6.   Power Source:  Check all that apply
___  Generator
___  Commercial mains
___  Battery 
___  Solar
___  Other (list) __________________________

7. ARRL / RAC Section ______________________

8. Total CW QSOs ___________  x 2 = Total CW QSO points ____________

9. Total Digital QSOs _______ x 2 = Total Digital QSO points _______

10. Total Phone QSOs _________x 1 = Total Phone QSO points _________

11. Total QSO Points _____________________

12. Power Multiplier (select only one)

___  5 Watts or less and Battery powered = 5
___  150 Watts or less  = 2
___  Over 150 Watts = 1
     (transfer to line 13)

13. Power Multiplier ______________________

14. Claimed Score ________________________
                      (line 11 x line 13)
                   (excluding bonus points)

15. Bonus points claimed:  Please check each block as appropriate 
and include required proof of points with your submission.  All 
bonus points will be verified at ARRL HQ and added to your score.

___ 100% Emergency power (Max. 20 transmitters) 
___ Media Publicity
___ Set-up in Public Place
___ Information Booth
___ NTS message to ARRL SM/SEC
___ W1AW Field Day Message
___ Formal NTS messages handled (# __________)
___ Satellite QSO completed
___ Natural power QSOs completed
___ Site Visit by invited elected official 
___ Site Visit by invited served agency official
___ Youth Element achieved
___ GOTA Bonus (total bonus points: ________)
___ Submitted using the b4h.net.applet
___ Non-Traditional Demonstration modes (list each):
    A. _____________________________________________
    B. _____________________________________________
    C. _____________________________________________

Total Bonus Points Claimed: ___________________

16. ____ Check here if Summary was submitted via the web applet 
    at:  www.b4h.net/cabforms

17.  I/We have observed all competition rules as well as all 
relations for amateur radio in my/our country.  My/Our report is 
correct and true to the best of my/our knowledge.  I/We agree to 
be bound by the decisions of the ARRL Awards Committee.

Date: ____________________________________________

Call: ____________________________________________

Signature: _______________________________________
           (signature/call of club president or 
           authorized club representative)

Address: _________________________________________

Address: _________________________________________

E-Mail Address: __________________________________

You must complete the Band/Mode and GOTA QSO breakdown box below.



		Field Day Call Used: _______________________
18.  
          -----------------------------------------------------
          |  CW    |        | Digital |        | Phone |       |
          |________|________|_________|________|_______|_______| 
          |  QSO   |  Power | QSO     |  Power |  QSO  | Power |
__________|________|________|_________|________|_______|_______|
160 M     |        |  	    |	      |	       |       |       |				
__________|________|________|_________|________|_______|_______|
80 M      |        |  	    |	      |        |       |       |
__________|________|________|_________|________|_______|_______|
40 M 	  |	   |	    |	      |	       |       |       |	 		
__________|________|________|_________|________|_______|_______|
20 M	  |	   |	    |	      |	       |       |       |		 		
__________|________|________|_________|________|_______|_______|
15 M	  |	   |	    |	      |	       |       |       |		
__________|________|________|_________|________|_______|_______|
10 M	  |	   |	    |	      |	       |       |       | 	 			
__________|________|________|_________|________|_______|_______|
6 M	  |	   |	    |	      |	       |       |       |				
__________|________|________|_________|________|_______|_______|
2 M	  |	   |	    |	      |	       |       |       |			
__________|________|________|_________|________|_______|_______|
1.25	  |	   |	    | 	      |	       |       |       |			
__________|________|________|_________|________|_______|_______|
Other	  |	   |	    |	      |        |       |       | 				
__________|________|________|_________|________|_______|_______|
Other	  |        |        |         |        |       |       |
__________|________|________|_________|________|_______|_______|
Satelitte |	   |	    |	      |	       |       |       | 	 			
__________|________|________|_________|________|_______|_______|
GOTA	  |	   |	    |	      |	       |       |       |				
__________|________|________|_________|________|_______|_______|
Totals	  |	   |  CW    |	      |Digital |       | Phone |						
__________|________|________|_________|________|_______|_______|
           Enter on           Enter on          Enter on
           Line 8 of          Line 9 of         Line 10
           Summary            Summary           Summary        


19. GOTA BONUS:  Lixt names/calls of GOTA operators, number of QSOs 
completed by each and the 50 or 100 point basic GOTA Bonus earned by 
each if applicable:

___________________________________________________________________
   Name / Call                  | # of QSOs  | Bonus Points Earned |
________________________________|____________|_____________________|       
				|	     |			   |	
________________________________|____________|_____________________|
				|	     |			   |	
________________________________|____________|_____________________|
				|	     |			   |	
________________________________|____________|_____________________|
				|	     |			   |	
________________________________|____________|_____________________|
				|	     |			   |	
________________________________|____________|_____________________|
				|	     |			   |	
________________________________|____________|_____________________|
				|	     |			   |	
________________________________|____________|_____________________|
				|	     |			   |	
________________________________|____________|_____________________|

____ Check if claiming double bonus for GOTA Coach

20. Did your Field Day Group claim the Youth element Bonus:  	
    _____ Yes 	______ No

If so, how many participants 18 or younger completed at least one 
QSO?  _________________
	
Total number of attendees in group age 18 or younger __________


Field Day Entry Submission Instructions:

Please make certain that your required summary sheet is complete 
with the following fields filled in:

1.  Field Day Call Used: The callsign used by your club/group/entry.  
    If your group used a GOTA station please list that callsign in 
    the space provided.
2.  Club or Group Name: If your group entered as a Class A or F 
    entry, please give us the name of the Club or Group.  
3.  Number of Participants: Give the number of persons who 
    participated in your Field Day operation. Include operators, 
    loggers, set-up crew, and visitors.
4.  Number of Transmitters in Simultaneous Operation: List how many 
    transmitters were active during any 15-minute period of the Field 
    Day event.
5.  Entry Class: Refer to the Field Day rules for definitions.
6.  Check all power sources used: If you used more than one source, 
    check all that apply.
7.  Your ARRL / RAC section: This is usually your state or province, 
    but if you live in one of the 8 US states that have multiple ARRL 
    sections (California, Florida, Massachusetts, New Jersey, New York, 
    Pennsylvania, Texas and Washington) refer to the ARRL section list. 
    DX stations use the term "DX".
8.  Total number of CW QSOs: In the first blank list the number of raw 
    non-dupe CW QSOs.  Multiply the CW QSO total by 2 and enter the CW 
    QSO point total in the second blank. Do not add the power 
    multiplier in this field.
9.  Total number of Digital QSOs: On the first blank list the number of 
    raw non-dupe Digital QSOs. Multiply the Digital QSO total by 2 and 
    enter the QSO point total in the second blank. Do not add the power 
    multiplier in this field.
10. Total number of Phone QSOs: In the first blank list the number of 
    raw non-dupe Phone QSOs.  Multiply the Phone QSO total by 1 and 
    enter the Phone QSO point total in the second blank.  Do not add the 
    power multiplier in this field.
11. Total QSO Points: Add the CW, Digital and Phone QSO points and enter 
    here.
12. Power Multiplier: Select the category that corresponds with your 
    power multiplier.  (Remember that to use the multiplier of 5, you 
    must be using 5 watts or less AND running battery or solar power.)
13. Enter the power multiplier from Item 12 onto this line.
14. Multiply line 11 times line 13 to calculate your claimed score, 
    exclusive of bonus points.
15. Bonus Points Claimed: All categories now qualify for certain bonus 
    points. Check each box for which you are claiming the earned Field 
    Day bonus points.  You must submit proof of all bonus points 
    claimed or they will be disallowed. Proof for each may be in the 
    form of photographs, copies of visitor logs, copies of press 
    releases issued or newspaper articles printed, marked log excerpts  
    showing Satellite and Natural power QSOs. A written statement 
    signed by a club or group official will suffice for the Emergency 
    Power, Public Place, Information Booth, and Site Visit bonuses.  
    You must provide serviced copies of any messages claimed for bonus 
    credit. A copy of the W1AW bulletin must be included with the 
    entry submission. 

Special notations:
A.  If the Field Day operation was 100% emergency powered, you receive 
    100 points for each transmitter up to 20.
B.  The Field Day message to the SM or SEC does not also qualify as a 
    10-point NTS message.
C.  Non-traditional modes must only utilize amateur radio.  Internet 
    relays, etc do not qualify.  Frequency bands (such as 10 GHz) are 
    bands, not modes, and do not qualify for the bonus.
D.  If you submitted your entry via the web application at 
    www.b4h.net/cabforms, you may claim an additional 50 bonus points.
E.  Youth element - you must fill in information for question 20 page 
    2 of the summary if you claim this bonus.
16. Check this space if you have also submitted the entry via the Web 
    Applet.
17. A club officer, authorized club representative or individual must 
    date, and sign the Summary Sheet.  Please provide a mailing address 
    and e-Mail address (if available) in case questions arise with the 
    entry.
18. You must include a band and mode breakdown of QSOs on the reverse 
    side of the summary sheet form. GOTA station contacts should be 
    indicated on a single line.
19. The list of GOTA station operators/participants must be shown and 
    the number of QSOs each made must be listed in order to claim the 
    GOTA bonus.  Also you must check the box if you are claiming the 
    double bonus for using a designated GOTA coach/mentor.
20. If your group claims the Youth Element bonus, give the number of 
    youth participants (18 years old or younger) who completed a QSO 
    and the total number of youth attendees.

After completing the Summary Sheet, please enclose it, copies of Dupe 
Sheets (by band and mode), all proofs of bonus points claimed and mail 
to:

Field Day Entry
ARRL
225 Main Street
Newington, CT 06111

All Field Day entries must be postmarked or e-mailed within 30 days 
after the contest or they will be ineligible for inclusion in the Field 
Day results.