GROUP INTAKE
15995 SW 74th Ave, Suite 200 • Tigard, Oregon 97224
503.746.6646 phone • www.teamsynergo.com
GROUP NAME:
DATE:
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Date
Timeframe:
LOCATION:
GROUP COORDINATOR | CONTACT INFO:
# OF PARTICIPANTS:
GROUP SPLIT:
GROUP POPULATION:
ADDITIONAL STAFF/CHAPERONES:
LEAD FACILITATOR | CONTACT INFO:
CO-FACILITATOR(S) | CONTACT INFO:
GOALS | OBJECTIVES | EXPLANATIONS
SPECIAL/SPECIFIC NEEDS:
GROUP TRANSPORTATION:
FACILITATOR MEETING SPOT & TIME:
GROUP LUNCH DETAILS:
FACILITATOR LUNCH DETAILS:
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OTHER SITE INFO (other groups on the course, indoor space, lunch area, etc.):
PLAN FOR THE DAY | SEQUENCING & TIME FRAMES:
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