CSI Outdoor Program/Challenge Course

Indoor Challenge Course

Outdoor Challenge Course

Outdoor Program

Online Reservation Request

  Group Name:
  Number of Participants:
(Minimum of 10)
  Age Range of Participants:
  Requested Date:
  Requested Times:
  Course Request: Outdoor
  Contact Person/Title:
  Primary Phone Number:
  Phone Number Day of:
  Mailing Address:
  E-mail Address:

Needs Assessment

Please fill out the information below to the best of your knowledge because while you are here we want to be able to best serve the needs of your group. Please be specific when filling out this form.

  1. Summary of group’s purpose/type of organization.
  2. How long has the group been together? What are the dynamics like?

  3. Groups strengths/weaknesses?
  4. What are some goals you would like to see your group accomplish?
  5. Are there any special needs of individuals or the group that the facilitators should be aware of? Yes No

If "Yes", please explain.
  6. Are there any special requests? Yes No

If "Yes", please explain.
  7. How does your group plan to follow up on this experience?
  8. Please feel free to provide any additional information that you feel is pertinent.