Custom Adventure Programming Request Sheet

Custom Adventure Programming Request Sheet

Organization or Group Information

Organization or Group Name*

Campus Affiliation*

Campus Group

Student Org

3rd Party Rental

Number of Attendees*

First & Last Name of Contact Person*

*must be responsible for payment

Contact Email*

*email to receive invoice upon approval of request

Request Information

Type of Request*

Custom Adventure Trip or Program

Adventure Programming Request*

Custom Trip

Custom Workshop

Climbing Wall Rental

Location

Select or enter value

Heading

Please provide description of your programming request*

include details on location & activity type

Preferred Level of Difficulty*

Select or enter value

Start Date*

Start Time*

*Specify AM/ PM

End Time*

*Specify AM/ PM

My Event has Multiple Dates

Recurring Day of the Week

If this is a non-recurring event, please fill out an additional request

Sunday

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

End Date

Comments or Questions

Billing Information

A cost estimate will be provided to you for any approved event. Please Note:

Card or Check payment method will be required two weeks in advance of your event
PG #/Worktag/ Grant # or Customer Account # for Accounts Recievable Billing will required the billing information at the time of request to be billed within 1-3 business days of your event.

Payment Method*

Select or enter value

Billing Information*

Please provide PG#/ Worktag/ Grant # or Customer Account # to reserve your program or rental.

Send me a copy of my responses

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