Adam's Place Camp Cope Logo

Register for Camp Cope Family Orientation

If you have not attended a monthly Camp Cope Family Orientation please use the form below to sign up.

If you have attended one of our Family Camp Cope Orientations please sign up for a Camp Cope Support Group here.

Camp Cope Family Orientation
First
Last
Address *
Address
City
State/Province
Zip/Postal
Do you live within the city limits of Las Vegas?
Do you live within Clark County?

Please list all participating family members, including yourself, other adults, teens, and children.

Please wait a moment after clicking Add/Remove for the new field set to appear/disappear.

Camp Cope

Is your child participating in Camp Cope at their school? *
Camp Cope Permission
My child has my permission to attend Camp Cope sessions with Adam’s Place. I understand that these sessions are strictly peer grief support and are not therapy or counseling. Our emphasis is on coping skills education and support, giving the child a safe confidential place to share.
Confirm Signature *

Model Release
In exchange for consideration received, I hereby give permission to Adam’s Place AKA Camp Cope to use my name in photographic likeness in all forms and media for advertising trade, and any other lawful purposes.
Confirm Signature

ORIENTATION MEETINGS

At our Family Orientation you will learn a little more about Adam's Place and our Camp Cope program. We look forward to meeting you. Family Orientation is scheduled throughout the school year and is held virtually on Zoom. You will receive an email with the Zoom invite before the Orientation.

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