LA COUNTY IN-PERSON CAFE REGISTRATION FORM

In-Person Café Registration Form

- LA COUNTY -
Thank you for your interest in CCRC's Parent Cafes. Please complete the form below to register.
Contact Details :
Full Name*

First NameLast Name
Phone Number*
E-mail*
example@example.com
Please enter your zip code and press "Continue"*
County
Area
Fill Q
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In-Person Café Dates :
Most Cafés are one-time events and will list a single date in the description below.

Occassionally, a Café series is offered, which meets once a week on the same day and shows a begin and end date in the description.

To ensure all interested families have the opportunity to participate, please select only one date or series per household at a time.

In Person Café Agreements
By signing up for a Café, the participant agrees to do their best to attend and notify the facilitator if they are unable to attend.*

AgreeDisagree
You must be able to agree to this commitment in order to complete registration. Please email EveryoneFRC@ccrcca.org for more information.
By signing up for a Café, the participant understands that CCRC has some wellness protocols in place to support everyone's wellbeing. Please conduct a personal wellness check prior to attending and if you are not feeling well or have COVID related symptoms, we kindly ask that you rest at home and join us another time.*

AgreeDisagree
You must be able to agree to this commitment in order to complete registration. Please email EveryoneFRC@ccrcca.org for more information.
By signing up for a Café, the caregiver affirms that they are a resident of Los Angeles County, within areas served by Child Care Resource Center.*

AgreeDisagree
You must reside in Los Angeles County, within areas served by CCRC in order to participate in these Cafés. If you need assistance locating your local Family Resource Center, please email EveryoneFRC@ccrcca.org
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In-Person Café Registration Form