SurveyMonkey Powered Online Survey

Question Title

* 1. Group Name

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* 2. Site Director for Program

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* 3. Person filling out this form:

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* 4. Confirm these have been completed:

	YES	N/A
Silver Gate Open	Silver Gate Open YES	Silver Gate Open N/A
Cell Phone on SD	Cell Phone on SD YES	Cell Phone on SD N/A
First Aid kit on SD	First Aid kit on SD YES	First Aid kit on SD N/A
Restrooms Presentable and wiped down	Restrooms Presentable and wiped down YES	Restrooms Presentable and wiped down N/A
Prayed for the Group	Prayed for the Group YES	Prayed for the Group N/A
Sojourn Banners Up	Sojourn Banners Up YES	Sojourn Banners Up N/A
SD and necessary staff have radios	SD and necessary staff have radios YES	SD and necessary staff have radios N/A
Woods rescue bag put out	Woods rescue bag put out YES	Woods rescue bag put out N/A

Question Title

* 5. The following elements were...
- Set up today
- Checked by 2 Facilitators, and
- 100% ready to be used.

Cargo Net Climb / Crate'r Mountain (weighted check)

Climbing Tower (weighted check)

Double Power Pole (weighted check)

Double Zip (cycle + rescue bag)

Flying Squirrel (weighted check + rescue bag)

Giant Swing 1 (weighted check)

Giant Swing 2 (weighted check)

Jacob's Ladder (weighted check)

Laser Tag (SEE Inspection)

Leap of Faith 2 (weighted check)

Lil' Swing (weighted check)

New Element quick jump thing! (cycle)

Power Pole (weighted check)

TEC Course (gr schl, DEUS, res bags)

Tree Throw 1 (weighted check)

Tree Throw 2 (weighted check)

Triple Zip (cycle + rescue bag)

Tower A (weighted check)

VP1 (weighted check)

VP2 (weighted check)

Other

Question Title

* 1. Group Name

Question Title

* 2. Site Director for Program

Question Title

* 3. Person filling out this form:

Question Title

* 4. Confirm these have been completed:

Question Title

* 5. The following elements were...
- Set up today
- Checked by 2 Facilitators, and
- 100% ready to be used.

Question Title

* 6. Action Items that need to be addressed on the course

Question Title

* 7. SD Signature
By typing my name, I acknowledge that 2 people checked each high element and a full S.E.E. Inspection was completed.

Question Title

* 1. Group Name

Question Title

* 2. Site Director for Program

Question Title

* 3. Person filling out this form:

Question Title

* 4. Confirm these have been completed:

Question Title

* 5. The following elements were...- Set up today- Checked by 2 Facilitators, and- 100% ready to be used.

Question Title

* 6. Action Items that need to be addressed on the course

Question Title

* 7. SD SignatureBy typing my name, I acknowledge that 2 people checked each high element and a full S.E.E. Inspection was completed.

* 5. The following elements were...
- Set up today
- Checked by 2 Facilitators, and
- 100% ready to be used.

* 7. SD Signature
By typing my name, I acknowledge that 2 people checked each high element and a full S.E.E. Inspection was completed.