C.O.P.E. Family Support Support Center Registration

Serving Families in Contra Costa & Surrounding Counties

Office: 925 689 5811
Registration: 925 639 3143

Counseling Options and Parent Education (C.O.P.E)

Course Sign Up
* required

* Course:

*Available Class Locations:

* Session:

First Name:

Last Name:

Address Line 1:

Address Line 2:

City:

State:

Zipcode:

* Enter either a home phone, cell phone or email address

* Home Phone: - - or Cell Phone: - -

* Email Address:

Will you need child care during the course:

Number of children, ages, special child care requirements, or any additional information :

(Your registration will be pending, until you receive a confirmation from C.O.P.E.)