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Team & Leadership Center Interest Form
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* Indicates required question
Contact Person First Name
*
Your answer
Contact Person Last Name
*
Your answer
Contact Person Email Address
*
Your answer
Contact Person Phone Number
*
Your answer
Organization Name
*
Your answer
Program Information: Dates of Interest
*
Your answer
Program Information: Duration and Possible Times
*
Your answer
Location (select all that apply)
*
TLC Group Development
TLC Low Challenge Course
Eagle Pavillion
Abbott Hall Classroom
TLC High Ropes Tower
TLC comes to group
Required
If you want TLC to come to your group, where do you want this to happen?
Your answer
Number of Participants
*
Your answer
Age Range of Participants
*
Your answer
Gender of Participants
*
Male
Female
Both
Fitness Level of Participants
Your answer
Desired Program Outcomes
*
Fun & Recreation
Healthy Risk Taking & Resiliency
Team/Community Development
Communication & Trust
Collaboration & Conflict Resolution
Problem Solving & Adaptability
Leadership Development
Spiritual Development (Through a Biblical Lens)
Other:
Required
Special Needs (food, transportation, etc.)
*
Your answer
Anything else we should know?
Your answer
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