Venture Out Custom Program Info Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Thank you for your interest in a Venture Out Custom Experience! We look forward to creating an incredible experience for you and your group. Please complete the following form:

Email *

Your name *

Your phone number *

We are now accepting requests for:

-custom bouldering requests for Fall 2024 and Spring 2025

-custom trip requests for Spring 2025- requests must be made at 1 month before your desired trip, preferably 1 semester before.

Thanks!

Group name (ex. ___ Sorority, Leadership Team for ____ Club, etc.) Please provide a short description of who will be coming out. *

Logistics: Please describe what type of trip/program are you interested in. *

Goals/Objectives: What do you want to get out of the program? *

How many people total do you estimate in your group? *

Are the participants... *

VT Students

VT Staff and/or Faculty

Non-profit organization

Children under the age of 16

Non VT-affiliated community members

Other:

Required

What are your ideal date/dates? (please include day of the week and the exact date(s)). *

Is this a firm date? *

If you answered 'No' to the above question, what are additional dates you would be interested in?

Any additional things we should know about you and your group?

BILLING INFO - All billing occurs after completion of the trip

Billing Name (for any VT group, this must be a person listed on Gobbler Connect) *

Billing email address *

Billing phone number *

Billing street address *

Tax ID# (for non-VT groups)

Please allow up to a week for a response back from our team. We look forward to recreating with you!

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of Virginia Tech.

Does this form look suspicious? Report

Forms