Register for our services

Registration now open for Camp Cope AND Team RISE!

Registration Form

Once you submit your registration, we will reach out to you via email or phone to schedule your orientation.
Any fields marked with an asterisk (*) are required; all other fields are optional.

Learn more about our programs!

Child's Name

First Name

Last Name

Email

Phone

(###)

###

####

How would you prefer to be contacted?

Email

Phone call

Text

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Which programs will your child be attending?

Camp Cope

Team RISE

Please provide the following information for any children or teens attending: Full Name | Age | School & Grade

Is there anything that you feel we should know or that you would like to share with us?

How did you hear about R.I.S.E. Northwest?

Would you be interested in volunteering with us?

Yes

No

Caregiver's Name

First Name

Last Name

Relationship to bereaved child