K-12 Balloon Launch Request Form – Wyoming NASA Space Grant Consortium

Contact Info

Your Name *

First

Last

Your Email *

Your Phone Number *

School/Organization *

School/Organization Street Address *

Address Line 1

Address Line 2

City

State

Zip Code

Mailing Address (no PO boxes) *

Same as school/organization street address
Different address

Different Mailing Address *

Address Line 1

Address Line 2

City

State

Zip Code

Participant Info

Grade Levels (check all that apply) *

Elementary (K-5)
Middle School (6-8)
High School (9-12)
Other

If you selected Other, please specify... *

How many STUDENTS will participate? (estimate) *

How many TEACHERS will participate? (estimate) *

How many PRE-SERVICE EDUCATORS will participate? (estimate) *

How many INFORMAL EDUCATORS will participate? (estimate) *

How many ADMINISTRATORS will participate? (estimate) *

Launch Dates

Please choose your preferred launch DATE and TIME *

Date

Time

Please choose from available weekdays, Tuesday through Friday. Mid-morning launch times (~9am) or earlier typically work best weather-wise and provide us with plenty of time for payload recovery. We will do our best to accommodate your schedule, however we cannot guarantee our availability on your preferred launch date. The more flexibility you have in your schedule, the better!

If there are other dates/times that would also work in your schedule, please enter them here (or describe your availability)...

Other Information

Are you interested in having folks from your school/organization join us for the payload recovery? *

Yes
No
Maybe

Note: See our Balloon Launch 101 and Ballooning FAQ pages for more info on what a payload recovery entails.

If you answered Yes or Maybe above, are there any details you can provide at this time?

Will we have permission to use photos/videos of students and other participants on our social media accounts (YouTube, Facebook, Twitter, Instagram)? *

Yes
No
Maybe

Have you previously worked with our high-altitude balloon program or participated in one of our launches, either directly or indirectly? *

Yes
No

If you answered Yes, please describe your previous involvement with our program... *

How did you find out about our balloon program? (select all that apply) *

If you answered Other, please provide additional details... *

Do you have any other questions, comments, or information you would like to add? (optional)

Would you like to be added to our high-altitude balloon email list?

Yes

We expect to send only a few emails to this list every year, mainly to share our bi-annual high-altitude balloon newsletter as well as any relevant announcements related to our program.