Name of Group 

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* 1. Name of Group 

Contact Person 

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* 2. Contact Person 

Email Address

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* 3. Email Address

Telephone Number 

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* 4. Telephone Number 

Number of Participants

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* 5. Number of Participants

Age Range of Participants

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* 6. Age Range of Participants

Number of Chaperones

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* 7. Number of Chaperones

Number of Chaperones That Will Participate 

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* 8. Number of Chaperones That Will Participate 

Desired Activity (Please Select All That Apply) 

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* 9. Desired Activity (Please Select All That Apply) 

Desired Location 

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* 10. Desired Location 

Desired Event Format

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* 11. Desired Event Format

Mailing Address

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* 12. Mailing Address

City, State and Zip Code 

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* 13. City, State and Zip Code 

Preferred Dates (Please include multiple options)

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* 14. Preferred Dates (Please include multiple options)

Top Four Objectives. (e.g. fun, team building, wilderness skills, etc.)

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* 15. Top Four Objectives. (e.g. fun, team building, wilderness skills, etc.)

Describe your group. How long have they known each other and in what capacity?

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* 16. Describe your group. How long have they known each other and in what capacity?

Are there any group issues or challenges that you would like to address during the event?
 

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* 17. Are there any group issues or challenges that you would like to address during the event?
 

Do you foresee any physical or emotional limitations for anyone in this group that we should take into consideration when planning your event?

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* 18. Do you foresee any physical or emotional limitations for anyone in this group that we should take into consideration when planning your event?

Please list any additional questions or concerns.

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* 19. Please list any additional questions or concerns.

Has your group participated in a Cal Adventures custom event before? If so, are there any specific activities that you would/would not like to repeat?

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* 20. Has your group participated in a Cal Adventures custom event before? If so, are there any specific activities that you would/would not like to repeat?

How did you hear about our program?

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* 21. How did you hear about our program?

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