IN-PERSON STORY TIME: Registration Form

In-person Story Time Registration Form

Thank you for your interest in CCRC's in-person Story Time events. Please complete the form below to register.
Caregiver Contact Details:
Full Name*

First NameLast Name
Phone Number*
E-mail*
Zip Code
Area
Fill Q
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Please choose the story time date you will be attending:

SYLMAR :

PALMDALE :

In-person Story Time Agreements:
By signing up for an in-person story time, the caregiver agrees to do their best to attend the story time session and notify the facilitator if they are unable to attend.*

AgreeDisagree
You must be able to agree to this commitment in order to complete the registration. If you are unable to make a commitment, please email EveryoneRR@ccrcca.org for more information regarding other CCRC activities that may be available to you such as virtual story time.
By signing up for an in-person story time, the caregiver understands that CCRC has some safety protocols in place that must be adhered to at all times. We ask that you maintain social distancing and please conduct a self-health check prior to attending (if you are not feeling well or have COVID related symptoms, please stay home).*

AgreeDisagree
You must be able to agree to this commitment in order to complete the registration. If you are unable to make a commitment, please email RReveryone@ccrcca.org for more information regarding other CCRC activities that may be available to you.
By signing up for a story time session, the caregiver affirms that they are a resident of Los Angeles County, within areas served by Child Care Resource Center.*

AgreeDisagree
You must be able to agree to this commitment in order to complete the registration. If you are unable to make a commitment, please email RReveryone@ccrcca.org for more information regarding other CCRC activities that may be available to you.
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In-person Story Time Registration Form

Caregiver Contact Details:

Please choose the story time date you will be attending:

Participant Info:

In-person Story Time Agreements: