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 (and staff harness if needed)	Woods rescue bag put out (and staff harness if needed) YES	Woods rescue bag put out (and staff harness if needed) N/A
Coolers set up	Coolers set up YES	Coolers set up 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)

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)

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)

Wopper Plopper (cycle)

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.

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

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* 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.