Test Form This is the starting place for all things Challenge Day! A representative will reach out to you and discuss in person and virtual programming options. Don't worry, there's no commitment. We are on hand M-F 7:30-4 Pacific to answer any questions at 925-957-0234.Program Type* School Programs Corporate or Community Programs School Programs Our signature day-long Challenge Day is an experiential social and emotional learning program for grades 7-12. We offer your schools the opportunity to ignite a shift toward greater school connection, empathy, and inclusion. Programs are typically held in your gym or large assembly room, or in a virtual setting Feature music and interactive exercises Are led by two energetic, relatable and highly trained facilitators who travel to your school or lead a virtual program. School Programs - Next Steps* Interest Form: I am interested and not yet ready to book Booking Form: I am ready to start the booking process! Challenge Day FAQ and Pricing Here is our Frequently Asked Questions and our School Pricing. Click Next to Contact Us!Corporate and Community Programs Our customized business and community programs are designed to catalyze people in the workplace or communities to understand one another, increase self-awareness, and build deeply caring, supportive, harmonious and effective teams. Programs are typically held at a conference style room at or near your business, or in a virtual setting Feature music and interactive exercises Are led by two energetic, relatable and highly trained facilitators who travel to your location or lead a virtual program Corporate or Community Programs - Next Steps* Interest Form: I am interested and not yet ready to book Booking Form: I am ready to start the booking process! Corporate or Cummunity Pricing Here is our Corporate Pricing, and Community Pricing Click Next to Contact Us!Adult Workshops Being the Change Workshops are live events with Challenge Day Founders, Rich and Yvonne, designed to help you reawaken the hero inside your heart. Fun, engaging and practical activities support you in taking action in your life. Experience unconditional acceptance. Heal your past. Breakthrough any limit and create the quality of life you desire. Leave inspired to "be the change" by being your most authentic self and living your true purpose. Workshops are held at our headquarters in Concord, California, or other venues Workshops can be from 1 to 3 days long Workshops can also be purchased to bring to your business or community Adult Workshops - Next Steps* Contact Form: I want to check upcoming workshop dates and register Interest Form: I am interested in more information about booking a workshop at my business or community Booking Form: I am ready to start booking a worskhop at my business or community! Adult Personal Growth Workshops Click Be The Change Workshops to check dates and Register!Click Next to Contact Us to ask questions.International Programs We’ve held Challenge Day programs for schools and communities in ten countries around the world. We have affiliates in Europe and can take requests for other countries around the world. International Program Interest* Challenge Day in The Netherlands and Europe Personal Growth Workshops in the Netherlands Personal Growth Workshops in Belgium Bringing Challenge Day to another country Netherlands and European Countries Great! Please contact our affliate at www.challengedaynederland.nlClick Next to Contact Us to ask questions.Personal Growth Workshops in the Netherlands Wonderful! Please contact our Be The Change Netherlands at www.btcnederland.nlClick Next to Contact Us to ask questions.Personal Growth Workshops in Belgium Fantastic! Please contact our Be The Change Netherlands at www.bethechangebelgium.beClick Next to Contact Us to ask questions.Bringing Challenge Day to another country Awesome! Please click Next to contact us.Your status as a Challenge Day customer* First Time Previous - Rebooking You can also rebook by phone at (925) 957-0234 or by email at [email protected] Click Next for an Interest Form!Click Next for the Booking Form! Contact InfoGo ahead and fill it out! Completing this form is not a commitment.Your Name* First Last Your Email* Enter Email Confirm Email HiddenStay updated - Join our email lists Send me newsletters! PhoneCountry HiddenHow did you hear about us? How did you hear about us?*-ColleagueFamily/FriendGoogleHave Attended Challenge DayHave Coordinated Challenge DayLive Event/ConferenceMailerSocial MediaTVWebOtherHow can we help you?*Click Next to Submit! Organization InfoLet's get some more information.Your Day Phone* Your Mobile PhoneBest days, times, method to contact me I will be the staff point person who works together with Challenge Day* Yes No Your Role in the School/Organization*-PrincipalVice/Assistant PrincipalAdministratorCounselorTeacherParentStudentCommunity Member-ExecutiveManagerEmployee-Community OrganizerCommunity MemberWe appreciate your initiative in filling out a form! However, we highly recommend that only school staff members fill this form because schools need to be closely involved. If you'd like help talking to your school about bringing Challenge Day, please Contact Us. Thank you!Your Country* USA Canada Organization Name*The name of your school or organization. Address City* State*-AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificProvince/Territory*-AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland & LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukonZip/Postal Code* Type of School/Organization-PublicPublic - AlternativePublic - Catholic (Canada)Public - CharterPublic - ContinuationPublic - MagnetPublic - Small Learning CommunityPublic - Vocational-PrivatePrivate - BoardingPrivate - CatholicPrivate - IndependentPrivate - Parochial-School DistrictAfter School ProgramCommunity OrganizationCorporateEducational Services AgencyNonprofitYouth Services-GovernmentGovernment - CourtsGovernment - Job CorpsGovernment - Juvenile ProbationSchool/Organization Website ProgramsTell us which Programs you are interested in.Tell us which Programs you are booking.School Programs* Challenge Day Program Challenge Day Assembly Graduation Challenge Day Sports Team Challenge Day Faculty & Staff Development Programs Virtual Programs Business and Community Programs*Choose one or more of the following: Business Program Virtual Business Program Conference Session Keynote Speaker I'd like to discuss a custom program School Year* 21-22 22-23 23-24 24-25 25-26 Date Check I want to check if specific dates are available. Possible Date 1* MM slash DD slash YYYY Possible Date 2 MM slash DD slash YYYY Possible Date 3 MM slash DD slash YYYY Funding* We have budget/funding in place. We are awaiting grant approval. We need to raise or find funds. QuestionsThank you for your interest! We have gathered your information to best serve you. Please let us know if you have any additional questions.Click Next to Submit! DatesNumber of Days Booking*Please enter a number from 1 to 30.School Year* 21-22 22-23 23-24 24-25 25-26 Start Date - 1st Choice* MM slash DD slash YYYY Start Date - 2nd Choice MM slash DD slash YYYY Start Date - 3rd Choice MM slash DD slash YYYY RebookingAny other notes?Is there anything else you want us to know? Any new issues or goals? Any changes in your school since we last had a Challenge Day, or new special considerations? any contact details or information. Thank you!Click Next to Submit! PrincipalPrincipal's Name* First Last Principal's Day Phone*Principal's Email* CounselorCounselor's Name First Last Counselor's Day PhoneCounselor's Email FundingFunder OrganizationThe Funder Organization is the organization that will be paying for the program. Most of the time the Funder Organization is the same as the school or organization. The Funder may be different if a school district is paying, or if an organization is donating a day to a school. Funder is SAME as the Organization that is hosting Piggybacking We will be sharing travel costs with another school That's great! Please note that we use one booking form per school. We recommend you check that they have filled out a Booking Form for their day(s). Goals & IssuesTotal Number of students in the school*Racial/Ethnic Demographics*What are the approximate racial/ethnic demographics?Economic/Social Demographics*What are your economic and social demographics (such as Free and Reduced Lunch percentage)?Issues*How do you see the social climate at the school and the community? Goals*What are the goals, hopes, or desired outcomes you have for Challenge Day?CommentsThis field is for validation purposes and should be left unchanged. Δ
