Circle of Parents Registration Form

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The Circle of Parents was designed with the intention to develop and strengthen family support and prevent child abuse and neglect. Through this mutual self-help and parent-led support group, parents realize their similarities are far greater than their differences and ultimately unite them in ways unimaginable.

The COP program is unique in that there is a group for children as well!
This group is separate from the parents group so that participants can learn in a setting they are more likely to focus with the peers and share openly. Groups are free, anonymous, confidential, non-judgmental and promote positive, non-abusive parenting.

Option 1

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Date of Birth *

YYYY

Race/Ethnicity

African American

Asian American

Caucasian

Hispanic

Native American

Other:

Mailing Address *

County: *

Email Address: *

Phone Number: *

Do you currently have an open case involving CPS (Child Protective Service)? *

Yes

Other:

Will you be enrolling your child(ren) to the COP-Children's Group *

Yes

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