Name *

First Name

Last Name

Phone *

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

What type of program are you interested in? *

Half Day Challenge Course (morning)

Half Day Challenge Course (afternoon)

Full Day Challenge Course

Half Day Team-building Experience (morning)

Half Day Team-building Experience (afternoon)

Full Day Teambuilding Experience

Preferred Date of Experience *

We'll do our best to accommodate your first choice.

MM

DD

YYYY

Date of Experience (Second Choice) *

MM

DD

YYYY

Is your group interested in an overnight stay?

Challenge course experiences can be combined with an overnight stay for an additional cost.

Yes

No

How did you hear about us?

Social Media (Facebook, Instagram, Twitter, ect.)

You received one of our mailings

Word of mouth

Google search

You attended another program at Westminster Woods

Other