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Fast Response Form

Fill out this Fast Response Form and we'll call you within 48 hours, prepared with information and suggestions to help you achieve your goals for your team.

Contact Information

First Name	Last Name
Organization	Email Address
Mailing Address	City, State, Zip
Daytime Phone	Evening Phone
How would you like for us to contact you? Select One Email Daytime Phone Evening Phone
How did you find out about Challenge Discovery?
What type of organization do you represent? Select One Corporation/Business School/Community/Church Group Other
How many participants from your organization would attend a Challenge Discovery program? Select One 8-15 16-30 31-45 46-60 61-75 76-80 81-95 96-100 101-115 116-130 131-150
What is your preferred program date?
What is your preferred program location? Select One Doswell, VA (Near Kings Dominion) Richmond, VA (off-site) University of Richmond Mid-Atlantic (Outside Richmond, VA area) Other in USA Other Worldwide
What are your goals for your Challenge Discovery program? (Please check no more than three items)   I'd like for my team to identify particular skills and strengths of individual members.   I'd like for my team members to demonstrate support for one another and coach one another.   I'd like for my team members to recognize and acknowledge the strengths of the challenges posed by the diverse personalities and backgrounds of their co-workers.   I'd like to build a sense of trust on my team.   I'd like for individuals on my team to confront their perceived limitations and feel a sense of achievement.   I'd like for my team to recognize the importance of strategic thinking in meeting goals.   I'd like for my team to have a physically challenging experience.   I'd like for my team to have an intellectually challenging experience.   I'd like for my team members to build relationships with one another.   I'd like for my team to have a recreational experience. (Note: all Challenge Discovery programs include a healthy dose of fun, but please check this option if you specifically desire a recreational day.)
Please indicate program interest   Team Synergy (corporate)   Leadership Odyssey (corporate)   Performance Series (corporate)   Adventure Series (corporate)   Team Odyssey "New at U of R" (corporate)   Venture Out! (community)   Venture Up! (community)   High Ropes Challenge (community)   Venture Out! (community)   Team Adventure (community)   Teaming The Teachers (community)   Team Odyssey "New at U of R" (community)
Please note any special requests below: