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 characterEnter Password Confirm Password * Confirm PasswordGender * Female Male Prefer not to say OtherOther Phone School Name Street and Number Postcode City * Country * Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Bulgaria Burkina Faso Burundi Côte d'Ivoire Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Croatia Cuba Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea North Macedonia Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Barthelemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Country-UK * England Northern Ireland Scotland Wales Other Country-UK England region * East England East Midlands London North East North West South East South West West Midlands Yorkshire and the Humber Autonomous community * Andalucía Aragón Asturias Cantabria Castilla La Mancha Castilla Y León Cataluña Comunidad De Madrid Comunidad Valenciana Extremadura Galicia Islas Baleares Islas Canarias La Rioja Navarra País Vasco Región De Murcia Ceuta Melilla Académie * Aix-Marseille Amiens Besançon Bordeaux Clermont-Ferrand Corse Créteil Dijon Grenoble Guadeloupe Guyane La Réunion Lille Limoges Lyon Martinique Mayotte Montpellier Nancy-Metz Nantes Nice Normandie Nouvelle-Calédonie Orléans-Tours Paris Poitiers Polynésie Française Reims Rennes Strasbourg Toulouse Versailles Wallis et Futuna What is your current educator role? * Teacher Teaching assistant Teacher trainer Head of department Teacher/educator at a museum/science center Parent Other 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. SubmitΔ
