Challenge Course Program Request

GEORGETOWN CHALLENGE COURSE PROGRAM REQUEST FORM

A minimum of two weeks is required for scheduling. Submitting this form does not guarantee confirmation of your program. Call (512) 763-8365 for further details.

Organization/Department/Group*

Desired Date and Time (first choice)*

:

Desired Date and Time (second choice)*

:

Desired Date and Time (third choice)*

:

Expected number of participants (required minimum of 10)*

Requested Program Type*

4-hour Low Challenge 4-hour Low/High Challenge 6-hour Low/High Challenge

Group Category

Corporate Agency Small Business Non-Profit (schools, churches, government agencies, etc.)

Contact Name*

First Name

Last Name

Contact Title*

Contact Phone*

Contact Email*

Contact Address

Address Line 1

Address Line 2

City

State

ZIP Code

Organization Email

Organization Phone*

Organization Website URL

Organization Billing Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Georgetown Parks and Recreation
1101 N. College St.
Georgetown, TX 78627
Joe Armstrong, Adventure Coordinator
joe.armstrong@georgetown.org | (512) 763-8365