Company Name

Contact Person

Address:

Phone:

Mobile:

Email address:

Fax number:

How much time do you have?

How much time do you have?

2 hours
1/2 day
1 day
Other

Preferred Date:

Preferred start time:

How many participants?

Has the group functioned as a team before? YesNoSome

Do you wish the group to participate...

Do you wish the group to participate...

As smaller units
All together

The aim of team building is to... Compete against each otherLearn to work togetherBoth

Any members of your group with disabilities, please explain:

Please tick the options you would like included in your programme: KayakingIndoor Rock ClimbingIndoor AbseilingInline SkatingMini TriathlonCommunication GamesTrust ActivitiesProblem Solving Activities

Do you want... Standard ProgrammeTheme ProgrammeA 'Top Town' EventA Treasure Hunt

Do you have any specific requirement for your group?

Are you in: WellingtonAuckland

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