RockSat X 2011

Registration and Security Clearance

June 16 - 23*, 2011

July 14 - 21**, 2011

 

 

June participants must register by May 10th, 2011

July participants must register by June 3rd, 2011

Participants attending both weeks, may register for both at the same time.

  • As part of your Launch Fee for RockSat-X 2011, each participating school/team will be provided 4 all-access passes during the June environmental and checkout tests at Wallops.  These passes include meals, t-shirt, and RockOn/RockSat-C launch access.  Schools also have 4 all-access passes during the July checkout and launch.  These passes include some meals, t-shirt (unless given at June week), and RockSat-X VIP launch access.  Schools can send additional participants to the integration and launch for free.  If food and t-shirts are desired for these additional participants, there will be an extra charge ($ per person TBD).  EACH school must register ALL participants by May 3rd, 2011 (for June trip) and June 3rd, 2011 (for July trip) for security reasons and to determine amount of food needed.  Please complete registration form below.  You will receive additional details along with your security paperwork within 3 days of registering.   We are using the Refuge Inn as our home base for all operations related to RockSat-X and it is the hotel we have contracted with for our group.  We encourage all RockSat-X participants to use the Refuge Inn for lodging.  Reservations at the Refuge Inn must be made by May 4th, 2011 for the June trip and June 4th for the July trip.  For more details on the hotel, please click here.  ALL PARTICIPANTS MUST BE US CITIZENS.

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  • * RockOn/RockSat-C Launch day is scheduled for June 23rd, 2011 but the back-up date is June 24, 2011.  Please plan accordingly.

  • ** RockSat-X Launch day is scheduled for July 21st, 2011 but the back-up date is July 22nd, 2011.  Please plan accordingly.

  • Legal Name (as it appears on your driver's license)           

    Organization Name:

     

        

    Space Grant Affiliation:

     

       

    Mailing Address:

     

     

     

     


    Phone Number:

     

     

    Cell Phone:

     

     

    Fax #:

     

     

    Email Address:

     

     

    T-Shirt Size

     

     

    For which week are you registering?

     

     

    If attending the June week, when do you plan to arrive at Chincoteague Island?

     

     

    If attending the July week, when do you plan to arrive at Chincoteague Island?

     

     

    Do you agree that you WILL be at the Refuge Inn at for Check Out/In Procedure at you assigned time on Thursday, June 16, 2011 in order to participate in the Friday activities at Wallops?

     

     

    Do you acknowledge that the RockSat-X launch on a Terrier-Orion 2 stage sounding rocket out of NASA's Wallops Flight Facility is weather dependant?

     

     

    Do you acknowledge that the RockSat-X launch could be on Friday, July 22, 2011?

     

     

    Have you made your hotel reservations and if so where?

     

     

    Is your school planning on sending more than 4 participants to the RockSat-X activities?

     

     
    Are you a student, faculty, professional?  

    Any Special Request / Needs:

     

     

     

     If you have any questions about registration, please contact me directly before submitting your registration.  I, Chris Koehler, can be reached at 303-492-4750 or by email by clicking here. 

     

    Before submitting your registration, check the box if you agree to the fine print listed above.
       I agree with the conditions listed above and certify that  I am a US Citizen.