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 _________

Field DayPlease 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

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

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 QSO Score _______________________________________

(line 11 x line 13) (excluding bonus points)

15. Bonus points claimed: 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 ___ Educational Activity Bonus ___ Youth Element achieved ___ GOTA Bonus (total bonus points: ___________) ___ Submitted using the b4h.net applet

Total Bonus Points Claimed: ___________________

17. I/We have observed all competition rules as well as all regulations 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 on page 2 of this form. February 2010 – FD Form

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

CW Digital Phone

QSO Power QSO QSOPower Power

160 M

80 M

40 M

20 M

10 M

15 M

1.25

2 M

6 M

Other

Other

Satellite

Totals

CW Digital Phone

GOTA

Enter on Line 8 of Summary

Enter on Line 9 of Summary

Enter on Line 10 of Summary

Field Day Call Used: _______________________

19. GOTA BONUS: List names/calls of GOTA operators, number of QSOs completed by each and the 20 to 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 __________

18.

Adams County Amateur Radio Society - W3KGN Page 3 of 12

Bonus Points

Media Publicity

A copy of the article published in the Gettysburg Times on Tuesday, June 22, 2010, is shownbelow.

Adams County Amateur Radio Society - W3KGN Page 4 of 12

Set-up in a Public Place

Our Field Day site was located at the Adams County EOC. This building is in a publiclyaccessible location.

Information Booth

We set-up an information table outside the entrance of the EOC building. On this table we hadARRL literature and our club’s literature.

Dominic Bonitatis (WB7COW) at the information table.

Adams County Amateur Radio Society - W3KGN Page 5 of 12

W1AW Field Day Message

QST DE W1AW SPECIAL BULLETIN 7 ARLX007FROM ARRL HEADQUARTERS NEWINGTON CT JUNE 25, 2010TO ALL RADIO AMATEURS

SB SPCL ARL ARLX007ARLX007 2010 W1AW FIELD DAY BULLETIN

FD2010 ON-AIR FUN STARTS AT 1800 UTC SATURDAY FOR YOU AND YOUR CLUB.SWAP SKILLS, THOUGHTS OR A STORY ABOUT FD PAST. IN ADDITION TO W1AW,K6KPH WILL TRANSMIT FD 2010 INFORMATION FROM CALIFORNIA USING CW ANDDIGITAL AT 1430 UTC ON SATURDAY AND 0030, 0130, 1430 AND 1630 UTC ONSUNDAY.

THINK OF AN ORIGINAL BRAINSTORM AS YOU FIND YOUR LIMITS OR SURPASSWHAT YOU THINK YOU CAN ACCOMPLISH. CW, SSB, PSK31 AND RTTY WILLALLOW YOU TO SHOW YOUR SKILLS AND TRAIN FOR UPCOMING ACTIVITY. DAYOR NIGHT, HAMS SUPPLY IMPORTANT SKILLS TO LOCAL COMMUNITY ANDNATIONAL ORGANIZATIONS, SO SHOW YOUR STUFF.

FOR QST, SUBMIT YOUR FD FORMS TO ARRL HQ BY JULY 27. PHOTOGRAPHSHIGHLIGHT YOUR PLANNING AND FUN. A GOTA AND A VHF STATION WILLALLOW YOUR GROUP TO INSTRUCT AND ACQUAINT VISITORS WITH YOUR CLUBSTORY.

HAM RADIO IS FUN AND FD2010 IS AN IMPORTANT PART OF OUR HOBBY.PROUDLY SHOW OFF YOUR ''RADIO ACTIVITY.''NNNN

THIS IS K6KPH BOLINAS, CA

Adams County Amateur Radio Society - W3KGN Page 6 of 12

Natural Power QSO’s Completed

We completed 5 phone QSO’s on 40 meters using a Yaesu FT-817 running at 5W feeding aBuddipole at about 10 feet. The power to the radio was supplied by a 10 watt solar panelcharging a gel-cell battery. The apparatus was setup at the information booth and is shownbelow. The stations contacted were: W8TNO, KD2A, W3SJI, W4CA, and K3YTL.

L-R: Don Schmitt (K3DCS) and Tom Williams (KB3IQH) making solarpower contacts.

Adams County Amateur Radio Society - W3KGN Page 7 of 12

Site Visited by Served Agency Official

John Eline, director of Adams County Emergency Services, visited the ACARS field day siteSaturday evening.

L-R: John Eline (KB3SNI) and Rick Hutchison (N3SGF).

Adams County Amateur Radio Society - W3KGN Page 8 of 12

Youth Element

Three operators were 18 or younger, earning a total of 20 × 3 = 60 bonus points. They were;Samuel Biesecker, KB3TUI - 14 contactsWilliam Sipling, KB3TUG - 16 contactsJonathan Biesecker - 1 contact

GOTA Bonus

GOTA operator, Brian Koenig, K3BMK, made 20 contacts and therefore earned a 20 pointbonus.

Submitted using the b4h.net Applet

Our Field Day summary was submitted using http://www.b4h.net/cabforms.

Adams County Amateur Radio Society - W3KGN Page 9 of 12

Stations Worked by Band and Mode - W3KGN

80m CW: 13 contactsK8EENN3GCN3KAF

NA4KVE3GSIW1DDD

W2MMDW2USW3CDA

W3SJIW3SZWW8BM

W9TE

80m Digital: 6 contactsK8BFK8PL

N2OBW3AO

W4BLAW4UD

80m Phone: 114 contactsAA3EK1EIRK1RK1TTTK2AAK2AEK2BARK2BRK2ECK2GEK2NJK2YNTK3AEK3DMK3YTLK3ZMCK4MK4OGBK4TSK8BFK8BMIK8CBFK8CYK8DDG

K8DFK8ESK8KRGK8TPHK8WNJK9IQPK9JHQK9TPKA1GGKA3UOLKC8HTKD1HFKD2AKD8SQKE4AERN1EVN1VMJN2FIN2MTGN2SEN2SFN3DUEN3IC

N3ISN3LJSN3VZN4FRN4LEMN8QAN8RAN8SLNA1RAVE2UMSVE3AIRVE3CJVE3DCVE3SWAVE3VMW1CLAW1EEW1LASW1NVTW1PDW1QIW1SMHW1UR

W2EFW2ENW2IRTW2JJW2LISW2LRCW2MMDW2NPTW2ONTW2RCW2RDXW3AIW3AOW3BMDW3CSLW3EMW3FTW3HAW3LRSW3MIEW3MJWW3PPW3SK

W3SOW4DXAW4IFIW4IYW4KAW4MLW4UGW8BAEW8BMW8GKW8MRMW9CAW9FKW9PCWA4TFZWB2ELWWC8VOAWT1BWT4RAWY3PWZ8P

40m CW: 43 contactsAA4NJAC4RCK0HPK0LIRK1ARK1EEE

K1MUJK1RKK2ZRK4HYK4JJK4PW

K4YFRK8EENK8MFOK8SCHK9CJK9OR

K9YAKB3SKWKF4GDXKF4TJEKF9DKY4KY

N4UOHN8SLNG5ANM2LNN5ZVE2FET

Adams County Amateur Radio Society - W3KGN Page 10 of 12

W0GSW2ANW2RDX

W4IYW4MLW5EA

W5FCW5YDW8AV

W8SPW8UMW9DC

WM4CC

40m Digital: 23 contactsK1SVK4RK8UOK9HCK9NBR

KI4GOTKI4PMWKK5IN2OBN4GAS

N8SENW2CVA3RYVVE3BJRVE3NSR

W1QIW3AOW3CUW4DWW4LBT

W8HHFW8VVLWA1WA

40m Phone: 77 contacts (Solar QRP contacts are in bold and underlined)AA4NJK1BKEK1MUJK1OSK1RK1TTTK2AAK2AEK2BARK2CTK2NJK2RFK2SIK3CSGK3YTLK8ATA

K8BFK9NOK9UXZK9ZCKA1GGKB1EKZKB1RMAKD2AKF8PSKY4KYN1EVN1WMN2MBXN2MTGN2OBN2SF

N3KAEN4UEDN8LRGN8SFCVE3BAVE3DCVE3MISVE3NSRVE3OWVE3RTUVE3SGBW1ACTW1AWW1ECVW1EEW1LY

W1MBW1NVTW1NYW1PRAW1URW2GSBW2LIW2MMDW2SOW2VERW3BDW3HGTW3MJW3SJIW4AMW4CA

W4UDW8AW8CBFW8DXAW8GKW8HHW8PIW8TNOW8VAW8VPVWA1VKOWB2QBPWT4RA

20m CW: 3 contactsK0IIT K9OR VE3ZI

20m Digital: 33 contactsK1SOMK4MSUK4RSK4TNK8CHRK8CPAK8UO

KC0VEPKI4KI4HUSKS0KSN1NCN1QCN8MNI

N8PVCN9RVJND2EVE2CSPVE2RAEVE3IDIVE3LSR

VE3VMW0MRW2SEXW4CNW4UOTW8HPW8ZEP

W9FW9VCLWA4SUNWD9FTZWE4RC

20m Phone: 29 contactsK0KKVK4FC

K5SLKJ4BIZ

N4AWN9AKR

NM5ONW0K

VE2CQVE2UMS

Adams County Amateur Radio Society - W3KGN Page 11 of 12

VE3URFW0JVW0NTW1CXW2CB

W4BLAW4ITW4KJW5EA

W6YXW8AW8TCMW9ATG

W9JPW9LJWA0DXWB2TFN

WB4MNKWY5I

15m CW: 10 contactsK0LIRK4HRSK4LRA

K9OMN9BX

W1SEW4KJ

W5ZRW6CPD

W9MQB

15m Phone: 10 contactsK4FCK5ERKI4HUS

N0MAN4EHN4OE

W4UCJW8TCM

W9FCCWV5D

10m Phone: 42 contactsAA4WAC4XQAI4AJAI4FRK0RCK4FAUK4LLAK4ODK5TR

KB8ECGKB9OMKC4VTZKC9GQRKD0JVWKD4QMYKI4QVXKJ5ZTN4FR

N4OXN9EAXN9GQANF4GANT4YW0BMW0CYW0EBEW0EF

W1VRW4APW4FW4LEEW4VW5ANRW8CCIW8HWW9FCC

W9KKW9PIAW9ZLWA4LOXWB4LEQWI9MRC

6m Phone: 2 contactsK4ZK W4F

Stations Worked by Band and Mode - K3DCS

80m Phone: 3 contactsW1AW W2LIS WY3P

40m Phone: 35 contactsAA4NJK1RK2AEK2SIK2ZJK4NRCK8BF

KA3OLN3VN4DDN4UEDN8SFCN9AWVE3DC

VE3OWVE3PAVE3SGBW1AWW1EEW1OPW2RDX

W2SOW3BDW4TRCW8ALW8BMW8DESW8TNO

W8VPVW9ATGW9CAW9JPWB2QBPWI9FDWT4RA

Adams County Amateur Radio Society - W3KGN Page 12 of 12

20m Phone: 17 contactsAG4VAW7NBK8BIK8FAI

K9JHQK9ORKC0WBAN4NE

W0IWW0JVW0MAW5MAD

W9FW9JPW9LO

W9VTWK5T

6m Phone: 11 contactsAC4XQK4ZKK5MDX

KI4FIAKK5I

N3LLN4OX

NT4YW3AD

W4FW4LX