Challenge Course Assessment Form

Group/Organization*
Leader's Name*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Date of Event*
Date Format: MM slash DD slash YYYY
Program Length*
4hr or 8hr
Who is the Group?*
What is the age range of the participants?*
What is the male to female ratio?*
How many participants?*
Have any of them ever been to a Challenge Course?*
- Yes
- No
What are the leader's goals for the program?*
What are the participants' goals for the program?*
Are there any physical or health considerations to keep in mind?*
Has the group received the ropes course release form from the office?*
- Yes
- No
If this is a full day program, what will the group do for lunch?
CAPTCHA