TeamBuilding&Climbing6

Needs Assessment

To find out more about a custom-designed experience for your group, please complete this form and submit it.  We’ll be in touch!

If you would rather talk about your needs, call 901-260-3794 or email us.

Primary Contact Information









Secondary Contact Information









Group Information


Price/Budget

Scheduling

First Potential Date (Month/Day/Year)

Second Potential Date (Month/Day/Year)

Third Potential Date (Month/Day/Year)

Catering (lunchtime is 30 min long unless otherwise requested):

Please select your preferred catering option:

Please select preferred snack and beverage options. You may pick more than one.

 Water (Igloo Cooler) Water Bottles (Pint) Lemonade (Igloo Cooler) Kool-Aid Jammers (Variety Pack) Snacks: Chips (Variety Pack) Snacks: Cookies (Famous Amos) Concessions: (Candy/Chips/Soda) Total price added to final invoice

Paper Products: Please check all that apply

 Plates Cups Napkins Bringing our own paper products

T-Shirts

Would you like to order t-shirts for your group?

 Yes No

Focus Areas

Please select any areas you'd like us to focus on with your group:

 Conflict Resolution Personal Accountability Group Accountability Leadership Development (skill building) Self-esteem Issues Collaboration Personal Development (identifying strengths/weaknesses) Relational Skills (relating to one another) Stepping Outside Comfort Zones Professional Development (sharpening skills used in the workplace) Getting Along With One Another Drug/Alcohol Recovery Racial Issues Problem Solving Effective Communication Overcoming Fears/Challenges Basic "Getting To Know You" Activities Relationship Building We want more recreation/fun – not teambuilding

Please select the activity or activities that your group would like to participate in:

 Initiative/Teambuilding Activities Low Ropes Course High Ropes Course Climbing Wall

Previous Teambuilding Experience:

The following questions allow our staff to customize your event. Please be as specific as you can.

Has this group done teambuilding/retreat type activities in the past outside of the BRIDGES Center?

 Yes No

Is everyone expected to participate in this event? (i.e. are there participants with physical, mental, or emotional limitations that we should be aware of?)

 Yes No

How long of an event would you like to have?

Would you like any follow-up to this event (sequential in nature or a touchback with the group)?

 Yes No