Venture Out Challenge Course Info Form

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Thank you for your interest in the Venture Out Challenge Course! We look forward to having you on the course and providing a custom Challenge Course experience for you and your group where you can “Venture Out” of your comfort zone and achieve your goals. Please complete the following form:

Email *

YOUR CONTACT INFO

Your Name *

Billing Name (for any VT group, this must be a person listed on Gobbler Connect) *

BILLING email address (if different from yours)

Billing street address *

Group name (ex. ___ Sorority, Leadership Team for ____ Club, etc.) Please provide a short description of who will be coming out - *

Phone number you will have on the day of the activity *

Tax ID# (for non-VT groups)

How many people total do you estimate in your group? *

Are the participants... *

VT Students

VT Staff and/or Faculty

Non-profit organization

Children under the age of 16 (minimum age is 8-years-old and a weight of at least 50 pounds)

Non VT-affiliated community members

Other:

Required

Are you interested in:

Venture Out Challenge Course (high ropes) (up to 36 participants at a time on the course for sessions up to 3 hours in length)

Portable Initiatives (teambuilding activities custom chosen to meet your groups goals)

Combination of Challenge Course and Portable Initiatives for up to 7 hours in length

Virtual Initiatives (zoom based team-building activities) (up to 100 participants for up to 3 hours - please contact kennethg@vt.edu if your group is larger))

I'd like to be able to talk to a representative from Venture Out to determine how best to meet our goals

Clear selection

What is your ideal date/dates to come out to the Challenge Course? (please include day of the week and the exact date(s)). *

Is this a firm date? *

If you answered 'No' to the above question, what are additional dates you would be interested in?

What is your ideal time of day? *

No preference

Early morning

Late morning

Early afternoon

Late afternoon

GOALS/OBJECTIVES: What do you want to get out of the program? Please identify primary/secondary goals if you have them. What do you want to leave with? *

In one to two sentences, how well does your group know each other?

Any additional things we should know about you and your group?

A copy of your responses will be emailed to the address you provided.

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