Request for video call with Virgin Galactic Astronaut Ron Rosano
To be filled out ONLY by teacher, parent, school staff or organizer that will be leading the event on behalf of the school or group. We primarily use Zoom, but please let us know if another platform is needed.

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Email *
Your Name *
Your contact phone number *
(use hyphens for separating area codes & prefixes)
Your role or title at school or organization *
Name of school or organization *
Street address *
City, State (or Province) *
Time zone *
Class name or group description of students that will be participating *
(5th grade science, Mr. Smith's 3rd period Astronomy class)
Estimated number of attendees for Spacechat *
Age range of participants *
Required
On a scale of 1 - 5, how interested are your students in space and/or space industry careers right now? *
Not much interest
They are space crazy!
Preferred dates, times, and days of the week for Spacechat *
Do you have permission from school administration to have live web-based teleconferences (Google, Zoom, etc.) in the classroom or from home if learning virtually? *
Do we have permission to share photo or video from the Spacechat on social media or other online platforms? *
Any other info you'd like to share or request for the Spacechat?
If there is a particular topic or area of interest you'd like us to focus on, or anything else we need to know, tell us below.
In preparation for your Spacechat, we will ask you to spend 10-15 minutes sharing with your students with the video below (90 seconds long) and to come with questions to ask the speakers.   Note that this is suborbital flight, and not NASA astronauts going to orbit.
After your form is submitted, look for a confirmation email from ron@rosano.com within a few days, and please check your spam folder and/or contact Ron at that email address if you don't hear back within a week - thanks!
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