IN-PERSON PLAYGROUP - Registration Form

Select a Playgroup Series
Playgroups are a part of an 8 week series, occur once per week and begin on the date noted below.

*Please select only one Playgroup series.
- Wait List
- If there are no spaces available, please check the box below to join the Wait List.
  
  *A staff member will contact you if an opening becomes available.
- SylmarPalmdaleSan BernardinoVictorville
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- *You must select a Playgroup series or join the Wait List to proceed with this form.

Playgroup Participation Agreements
AgreeDisagree
To submit this form, you must be able to agree to this commitment. If you have any questions, please email EveryoneFRC@ccrcca.org
AgreeDisagree
To submit this form, you must be able to agree to this commitment. If you have any questions, please email EveryoneFRC@ccrcca.org
Selected participants understand that submitting this interest form does not guarantee participation. Spaces are limited and enrollment is NOT determined on a first-come, first-served basis. To ensure that all interested families have the opportunity to participate, priority is given to families who have not previously attended. Facilitators will contact families who are selected to participate via phone call and/or email three weeks prior to the event start date.*

AgreeDisagree
To submit this form, you must be able to agree to this commitment. If you have any questions, please email EveryoneFRC@ccrcca.org
AgreeDisagree
You must reside in either Los Angeles or San Bernardino County in order to participate in a CCRC Playgroup. If you need assistance locating your local Family Resource Center, please email EveryoneFRC@ccrcca.org
Should be Empty:

In-Person Playgroup Interest Form