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Camp Application for Gold Ribbon Accreditation



Please List the 2020 Camp Session Dates when Patient Campers will be Attending.

Best Date(s) for a Visit:

Would You Like to Add Another Session?

Best Date(s) for a Visit:

Would You Like to Add Another Session?

Best Date(s) for a Visit:
Address Where the Camp Session Will Be Held
At Our Camp Session(s), the Populations Served May Include:

 

 

 

Click below to continue to the Visit Details Form
Contact Person prior to the Visit:
Please List Alternate Contact for Day of Visit

Visitor Travel and Lodging

Be Prepared for a Successful Visit! Training is Key

  • Mandatory Training includes online webinars.
  • Mandatory Training will includes understanding what documentation is needed to meet each Standard and important deadlines.

COCA-I Gold Ribbon Visit Camp Agreement

As the contact person on the day of the visit I agree to the following:
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