DETECTS/ GEMINI Equipment Request Form
If you're not positive that you'll have time to implement the program, please don't fill out this form until you are positive. If you have any questions/concerns please feel free to reach out to detects@uah.edu or gemini@uah.edu. All pull-downs and comments are required (marked with an asterisk*).
Teacher Information
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
School
*
School Name
School Shipping Address (Please double check this)
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
For which project(s) are you filling out this form? Please only select the current project(s).
*
DETECTS
GEMINI
Previous Equipment
Have you received equipment from us before (even if you sent it back)?
*
Yes
No
Please select the following equipment that you NEED a new one of.
*
Inflator Hose and Inflator Connector
I need 2 Hose clamps (I have 0)
I need 1 Hose clamp (I have 1)
Wrench
None of the above - I have a Wrench, Hose and Inflator Connector, and 2 Hose clamps
Do you have any 200 gram High Altitude Balloons, Stratotracks, and/or helium tanks leftover from participating previously?
*
Yes
No, I don't have any leftover HABs, Stratotracks, or helium tanks
If you answered "yes" above, please list how many HABs, Stratotracks, and helium tanks you have leftover.
Comments
DETECTS Class Numbers
For which DETECTS session are you filling this form? Please only select the current session.
*
Early Fall 2025
Late Fall 2025
Early Spring 2026
Late Spring 2026
Total number of STUDENTS in DETECTS in the selected session:
*
Total number of TEAMS in DETECTS in the selected session:
*
If you are local, we can deliver tri-fold posters to you (max. of one per team).
*
I'm at a remote school
I'm at a local school, but I don't need tri-folds
I'm at a local school and would like one trifold per team
Other
Number of your separate CLASS periods participating in DETECTS in the selected session:
*
# classes participating in the selected session above
You are eligible for as many High-Altitude Balloons (HABs) as the number of classes you listed above. Please list the number of DETECTS balloons you would like to receive?
*
How many HABs would you like to receive. This value should be between 1 and your number of classes.
GEMINI Class Numbers
For which GEMINI session are you filling this form? Please only select the current session.
*
Fall 2025
Spring 2026
Total number of STUDENTS in GEMINI in the selected session:
*
Total number of TEAMS in GEMINI in the selected session
*
If you are local, we can deliver tri-fold posters to you (max. of one per team).
*
I'm at a remote school
I'm at a local school, but I don't need tri-folds
I'm at a local school and would like one tri-fold per team
Other
Number of your separate GEMINI CLASS periods participating in GEMINI in the selected session:
*
# classes participating in the selected session above
You are eligible for as many High-Altitude Balloons (HABs) as the number of classes you listed above. Please list the number of GEMINI balloons you would like to receive?
*
How many HABs would you like to receive. This value should be between 1 and your number of classes.
Additional Comments
Submit
Should be Empty: