November Launchpad
Date: November 12, 2026
Time: To Be Announced
Zoom Link will be sent as soon as we receive your registration
Sign in to Google to save your progress. Learn more
Email *
Do the student(s) you are registering have a TOD? 
TOD Name *
If the TOD is not the person responsible for filling out the registration and facilitating the Meet-Up: 
Please enter the facilitator's name and role.
Example: Heidi Pauls- SLP
Additional staff names/email contacts/and the student name they are connected to who will be facilitating the virtual meet and will need to be included in the invitation.
This helps us to know which students/names to assign to each room:

Example:
Michael Jordan/michaeljordan@spacejam.com/Ellie
George Lucas/gluke@starwars.com/Brock
*
School District  *
Student Grades, First Names, and Interpreter Name (make sure the interpreters are listed in the next question):
Example: 
4 Nora *Bill    
4 Daniel N/A  
7 Cecily *Erika
*
If your student(s) use an interpreter: 
Interpreter Email. 
Example: williamsmith@watchmyhands.com
 e.stephenson@watchmyhands.com
I understand that I will have to arrange for an adult in the room *
Required
I understand that I will have to arrange for our staff interpreter to support the students at my school and have included their name/e-mail address above *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of State of Wyoming.

Does this form look suspicious? Report