Group Program Intake Form
***WE ARE CURRENTLY CLOSED (2025 SEASON) DUE TO DAMAGE FROM HURRICANE HELENE. WE WILL KEEP YOUR INFO FOR FUTURE OUTREACH, BUT WE WILL MOST LIKELY NOT BE OPEN THIS YEAR***

Thank you for your interest in customizing a group package with Beanstalk Ziplines! Please ONLY FILL OUT THIS FORM if you are associated with a school, camp, Boy Scouts/Girl Scouts, a religious organization, a corporate company, or are part of the armed forces. THERE IS A SEPARATE FORM FOR BIRTHDAY PARTY INQUIRIES. Please fill out this form to the best of your ability. We will be in touch to discuss pricing and further details. 
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Email *
Primary Contact Name *
Primary Contact Phone Number *
What organization are you representing? 
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Has your organization worked with us before?
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Roughly how many people will be participating?
 *
Please provide at least three dates that could work for your group to book. **Please note: We open April 1st 2025 and will be closed Mondays & Tuesdays**
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What time frame are you thinking?
 *
How well do the members of your group know each other? Is this their first time interacting with each other?
 *
What are the ages of the members of the group?
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Which events are you interested in? *
Required
If you are interested in the Team Building Workshop, which behaviors (if any) would you like us to emphasize?
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Please choose NO MORE THAN 4 behaviors!
Required
Does anyone in the group have any special needs, physical limitations, or disabilities?
 *
Is there anything else you'd like us to know about your group?
 *
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