Information RequestHome / Information Request Group Name* Group Type*K-12 School or AffiliateGeorge Mason University Student GroupFairfax Co. MentorWorksBusiness/ CorporationCommunity GroupUniversity GroupGovernment AgencyOtherParticipant GradeAdults 18+High SchoolMiddle SchoolElementary SchoolIf you selected other, how would you categorize your group? Name of Primary Contact* First Last Phone*Email* Preferred Contact Method Phone Email Approximate Group SizePlease provide a total number, or range, of your expected number of participants. Preferred Dates of Program* MM slash DD slash YYYY * MM slash DD slash YYYY * MM slash DD slash YYYY If you are looking to come for more than one day, please list the preferred dates below: Please choose all programs your group would be interested in participating in.*Our facilitators can customize your program to fit the specific needs of your group! High Element Programs (Alpine Tower, Total Team Challenge, etc..) Low Element (Challenge Course, Excel Series, etc..) Mobile Program (We bring our team building services to you.) Uncertain (Would like to discuss options.) What are your goals for this experience?Ex: Problem Solving, Collaboration, Communication, Decision-Making, Relationship Building, Strategizing, etc.Any additional information you feel the EDGE staff should know? Δ