Space Camp - Waiting List
Update: We are now full, so filling this out will put you on our waiting list.

Don't be a Space Cadet, please try to fill this in a little bit sensibly! We can take your intergalactic credits via PayPal after we have received your application.

If you have any issues, please contact us at

Name *
Your answer
Phone Number *
Your answer
Email Address *
Your answer
Date of Birth *
Home Address *
Your answer
I am applying as... *
Which Network(s) are you associated with? *
Your answer
Medical/Dietary Issues
Please let us know of any medical, dietary or religious issues that we should be aware of. These will be kept confidential.
Your answer
Emergency Contact *
Please give us the name and contact details of who we should contact in case of emergency.
Your answer
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms