COCAcon Registration: 2019 COCAcon Board Member Registration Only

Note: All fields marked with a red asterisk (*) are required, and must be completed to proceed to the Next Step.

USER INFORMATION
First Name:
Last Name:
COCA-I Member Camp:
Address:
Address 2:
City:
State:
Zip:
Country:
Email:
Confirm Email:
Phone:
Camp Title:
Position at Camp:
Executive/Senior Management
Board Member
Camp Director
Medical Staff
Program Management
Counselor
Volunteer
Fundraising/Development
Other

Special Meals

Are Vegetarian Meals Required?:
Yes  No  
Are Gluten-free Meals Required?:
Yes  No  
Are Lactose-free Meals Required?:
Yes  No  

Hotel Arrival and Departure Times

Arrival Date and Time at the Conference Site:
Departure Date and Time Leaving the Conference Site:

Hot Topics

Do you have any topics you would like discussed in a Breakout Session, Panel, Round Table or during a meal?
Would You Like to Request Discussion Topics?:
Yes  No  

Interested in Speaking at Conference?

Let us know that you would like to speak! Check yes and we will contact you!!!
Would you like to speak?:
Yes  No  

Go Paperless

We will be offering a full PDF version of the conference schedule and program in advance of the conference or Guidebook, a downloadable mobile version of COCA-con. We know that some who are environmentally conscious (or who like to travel lightly) have expressed that they would prefer not to have a printed copy in a 3-ring binder. We want to make sure we have enough printed copies for those who want them, but we don’t want to print extras!

Paperless Conference :
PDF  Mobile App  Printed Binder  

Silent Auction Items

Each year at the banquet we have a silent auction. We have some great items... but could always use more. Just drop them off at the conference reception desk when you arrive. Do you have item(s) to contribute to the silent auction this year?
Silent Auction:
Yes  No  

COCAcademy

Learn from the BEST, BRIGHTEST & MOST INNOVATIVE camp professionals! Come join the COCAcademy! It's FREE ... no charge.

Every year you strive to bring joy, excitement, and healing to all of your campers, however that can be a daunting task in this new social and technological age. COCAcademy is for EVERYONE! Seasoned and new camp people. Directors, staff, volunteers counselors!

WARNING: This workshop will not be your typical sit, listen, & repeat environment. Be prepared to leave ridiculously excited, blown away by the innovative new methods you learn, and have your campers and staff find you annoyingly creative and quite possibly inspirational.

2-Day Immersion Workshop (Friday and Saturday). Join in for one or more sessions, or the entire 2 days.

Should We Save a Space?:
Yes  No  

Preconference - Grief & Bereavement

Andrea Warnick - Grief and Bereavement
Thursday November 14th 8:30 am - 3:30 pm
Keynote - 8:30 am - 10:00 am
Workshops 10:15 am - 3:00 pm

Preconference Fee: $50.00

 

Should We Save Space for You in the Preconference? :
Yes  No  
1

Siblings Needs Assessment Study

Through the generosity of Northwestern Mutual, COCA-I is conducting a siblings of cancer patients needs assessment study. The utlimate goal of this project is to identify unmet siblign needs needs and develop programs that can be delivered by COCA-I camps.

With over 55 camps coming to COCAcon 2019, we would like to use this opportunity to opportunity to collect some information.

We need you help to answer a couple of quesitons, and possibly participate in a focus group in Louisville.

Does your organization currently offer any programming for siblings?:
Yes  No  
If not, would you like to offer sibling programming if necessary resources were available?:
Yes  No  
If time permits, would you be willing to participate in a focus group at conference?:
Yes  No  

Last Step

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Note: All fields marked with a red asterisk (*) are required, and must be completed to proceed to the Next Step. If you press the Next Step button and nothing happens, please scroll up an ensure that all REQUIRED FIELDS are completed.

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