Outdoor Adventures Group Program Request Form Thank you for your interest in a custom group program. Once you complete this form we will review your request and get back to you in a few days. Generally, we need at least two weeks to get your group on the calendar. We will always accept requests as early as you want to plan things for your group. We look forward to working with you and your group. CONTACT INFORMATION First and Last Name Required Email Required Phone Required GROUP INFORMATION Group Name: Required Group Type: Required - Select -Currently enrolled UNL StudentsUNL DepartmentCommunity-non-profitCorporate Group Details: Please tell us as much as you can about your group and include the following information: How do they know each other? How long have they known each other? Other pertinent information. An example would be: these adults serve as our team teachers, these students will be serving on a service/mission project this summer, these youth serve as a leadership team, etc. Expected Group Size: Final group size and payment due five days before event. Age Range of Group: Required Has this group done a program with Outdoor Adventures before? - None -YesNo PROGRAM SPECIFICS Desired Programming Location Check all that apply. On Campus: Indoor Climbing Wall Event On Campus: Challenge Course/Team Building Challenge Course Event at Leadership Training Center Local Paddling Program (Canoe, Kayak, Stand Up Paddle Board) Local Bike Ride Other Custom Program/Trip/Training What are your goals for your experience? Check all that apply. Fun, shared experience to provide camaraderie. Individual communication, initiative and self-confidence. Group development including problem solving, cooperation, relationship building and growth. Training and Change that includes implementing new ways of thinking. This will include a classroom discussion. (Please note – this type of experience requires additional planning and consultation.) Other Are there any additional goals or outcomes you desire from this program? DATE REQUEST Preferred Start Date #1 Required Preferred Start Date #2 Required Preferred Start Date #3 Preferred Timeframe Check all that apply. Morning Afternoon Evening Full Day Overnight Leave this field blank