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Cal Adventures - Custom Event/Trip Questionnaire
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1.
Name of Group
(Required.)
*
2.
Contact Person
(Required.)
*
3.
Email Address
(Required.)
*
4.
Telephone Number
(Required.)
*
5.
Number of Participants
(Required.)
*
6.
Age Range of Participants
(Required.)
7.
Number of Chaperones
8.
Number of Chaperones That Will Participate
*
9.
Desired Activity (Please Select All That Apply)
(Required.)
Ropes Course
Team Building
Sailing
Kayaking
Backpacking
Other (please specify)
*
10.
Desired Location
(Required.)
Strawberry Canyon Rec Area & Pool
Berkeley Marina
Your Facility
Other (please specify)
*
11.
Desired Event Format
(Required.)
Half-Day (3-4 hours)
Full-Day (6-8 hours)
Multiple Days
12.
Mailing Address
13.
City, State and Zip Code
14.
Preferred Dates (Please include multiple options)
15.
Top Four Objectives. (e.g. fun, team building, wilderness skills, etc.)
16.
Describe your group. How long have they known each other and in what capacity?
17.
Are there any group issues or challenges that you would like to address during the event?
18.
Do you foresee any physical or emotional limitations for anyone in this group that we should take into consideration when planning your event?
19.
Please list any additional questions or concerns.
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?
21.
How did you hear about our program?
