· Web viewDescribe your group (e.g., affiliate organization or other relevant contextual...

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PRCC Event Request Survey Group/organization name: Primary contact/event coordinator: To ensure our ability to provide your group the greatest experience possible, please answer the following questions thoughtfully and completely. Thank you! ~PRCC staff 1. Total number of participants: 2. Age demographics (e.g., 10-year-olds, 50’s-70’s): 3. Program duration (check box): Full day (9a-3p) ½ day (9a-12p) ½ day (1-4p) 4. Available dates (please list 3 options in order of priority): 1 st ) 2 nd ) 3 rd ) 5. Describe your group (e.g., affiliate organization or other relevant contextual information, mission statement, how familiar are team members with one another, group personality, etc.) 6. Why does your group wish to share in an event together at PRCC? What are the group’s short and long-term goals? Date: / Name Email Phone

Transcript of   · Web viewDescribe your group (e.g., affiliate organization or other relevant contextual...

PRCC Event Request Survey

Group/organization name:Primary contact/event coordinator:

To ensure our ability to provide your group the greatest experience possible, please answer the following questions thoughtfully and completely. Thank you! ~PRCC staff

1. Total number of participants:

2. Age demographics (e.g., 10-year-olds, 50’s-70’s):

3. Program duration (check box):

Full day (9a-3p) ½ day (9a-12p) ½ day (1-4p)

4. Available dates (please list 3 options in order of priority): 1st) 2nd) 3rd)

5. Describe your group (e.g., affiliate organization or other relevant contextual information, mission statement, how familiar are team members with one another, group personality, etc.)

6. Why does your group wish to share in an event together at PRCC? What are the group’s short and long-term goals?

7. What concepts or themes would you like reinforced? Any topics too sensitive?

Date: / /

NameEmail Phone

PRCC Event Request Survey

8. What are your group’s greatest strengths and areas for growth?

9. Describe the general physical, mental, and emotional ability levels of your group.

10. Challenge activities often involve appropriate, respectful physical contact. Are there any concerns PRCC staff should be aware of in this regard?

11. If familiar with the PRCC facility, are there any activities/challenges you would choose or not choose for your group?

12. What additional information do you think we ought to have about your group?

13. On-site event coordinator (if different from primary contact identified above):NameEmail Phone

Thank you for completing our survey! To submit, please save in Microsoft Word format and email to [email protected] with the subject line Event Request (group/organization name) or mail to PRCC, 320 E. Lewis St. Moscow, ID 83843.