Please contact us
anytime via phone or
email, or by filling out the
form on this page to
request a proposal.
Epiphany Experiential Team
Breinigsville PA
Tel: 484.866.6316
Group Name:
Contact Person:
Email Address:
Street Address:
City, State, Zip:
Phone Number:
# of Participants
Participant Age Range:
Date of Program:
How Long Has This
Group Been Together:
Type of Program:
Location of Program:
How motivated is this
group to participate:
Program Objectives:

Check All That Apply
Fun, team spirit, boost morale
Effective Communication
Conflict Resolution
Expanding Comfort Zones
Physical Activity
Overcoming Challenges
Leadership Skills
Developing Self-Esteem
Please tell us a little about your group/organization and
describe their vission/mission:
Goal Setting
What are the stregths/challenges of this group?
Describe any previous team building/group experiences that this group has participated in:
Is everyone expected to participate?
If not, why, who, and what will be their role?
Would you like a follow-up to this group?
(sequential or touchback)
Request for Proposal
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Epiphany Experiential
Team Development
Customizing Experiences to Promote
Positive Growth within Your Group