Team Leader Account Name * Name First First Last Last Email Address * Enter Email Confirm Email Address * Confirm Email Password * Eight characters minimum One lowercase letter One uppercase letter One number One special character Enter Password Confirm Password * Confirm Password Gender Female Male Other Prefer not to say Phone School Name Street and Number Postcode City * Country * AfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCôte d'IvoireCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint BarthelemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country-UK * EnglandNorthern IrelandScotlandWalesOther Country-UK England region * East EnglandEast MidlandsLondonNorth EastNorth WestSouth EastSouth WestWest MidlandsYorkshire and the Humber Autonomous community * AndalucíaAragónAsturiasCantabriaCastilla La ManchaCastilla Y LeónCataluñaComunidad De MadridComunidad ValencianaExtremaduraGaliciaIslas BalearesIslas CanariasLa RiojaNavarraPaís VascoRegión De MurciaCeutaMelilla Académie * Aix-MarseilleAmiensBesançonBordeauxClermont-FerrandCorseCréteilDijonGrenobleGuadeloupeGuyaneLa RéunionLilleLimogesLyonMartiniqueMayotteMontpellierNancy-MetzNantesNiceNormandieNouvelle-CalédonieOrléans-ToursParisPoitiersPolynésie FrançaiseReimsRennesStrasbourgToulouseVersaillesWallis et Futuna Language community * Flemish speakingFrench speakingGerman speaking What is your current educator role? * TeacherTeaching assistantTeacher trainerHead of departmentTeacher/educator at a museum/science centerParentOther What is your current educator role? I confirm that I am a teacher / educator / parent / mentor and over 18 years old. * No Yes I confirm that I have read and agree with the Mission X Privacy Policy 2022/23. * No Yes, I agree I agree for my contact details (as listed in the Mission X Privacy Policy) to be processed by ESA, UKSA, ESERO UK and the National Organisers, also after the conclusion of Mission X Train Like An Astronaut, in order to be informed about future free-of-charge education opportunities and activities, and about additional possibilities for involvement. * No Yes, I agree I agree for my contact details (as listed in the Mission X Privacy Policy) to be shared by ESA with the ESA ESERO Office in my country, where the processing takes place in accordance with their Privacy Policy / national regulations (links available in Table 2 of the Mission X Privacy Policy), in order for me to be informed by ESERO about future free-of charge education opportunities and activities, and about additional possibilities for involvement. No Yes, I agree I agree for my contact details (as listed in the Mission X Privacy Policy) to be processed by the national Space Agency/Office/ESA Delegation of my country in accordance with their Privacy Policy/ national regulations (links available in Table 3 of the Mission X Privacy Policy), in order for me to be informed by Space Agency/Office/ESA Delegation of my country about future free-of-charge education opportunities and activities, and about additional possibilities for involvement: No Yes, I agree Si eres humano, deja este campo en blanco. Submit Δ
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