Ropes Course Event Request Form

School, Group, Organization, Business Name *

Contact person *

First Last

Contact person email *

Contact person phone *

Number of participants & teachers *

Does your organization have insurance? If so, please provide carrier *

First choice for event dates *

Second choice for event dates *

Arrival time *

:

Departure time *

:

Will your group require a lunch break while at the course? *

Yes
No

What would you like your group to accomplish while at the ropes course? *

Bond by creating shared memories and having fun together
Get to know each other better
Work together (teamwork)
Build empathy for each other
Discover the value of asking for help
Work with people they have conflicts with
Trust each other
Build self-confidence (individual)

Describe the current dynamic in this group. For example, "they have all grown up together and get along well," "there is a lot of drama between cliques," "they generally don't know each other well and are shy around each other," etc. *

Do you have any other information that would aid us in creating an excellent ropes course experience for your group? *

Do you need any extra time or supplies for your group. For example "we want to spend some time working in the lodge", "we would like to share a video", "We want to use the grill" etc. *

Ellicottville Ropes Course Event Request Form