VIRTUAL PLAYGROUPS - Registration Form

VIRTUAL PLAYGROUPS REGISTRATION FORM
Grupos de Juego Virtuales

Formulario de Registro
Thank you for your interest in CCRC's virtual Playgroup Series.

Playgroups are part of an 8-week series that begin on the date noted.
Playgroups are intended for parents or family, friend and neighbor caregivers. If you are a licensed child care professional, please reach out to us about other options that may be available to you.
Do you have a license to provide child care?*

YesNo
Registration can not be completed. Playgroups are not desgined for licensed child care providers. Please reach out to us at EveryoneRR@ccrcca.org for other options that may be available for licensed child care providers.
Will this be your first time attending a Family Strengthening Activity held by CCRC? (For example: playgroups, story time, cafes, parent trainings or provider trainings)*

YesNo

Please complete your contact details below:
Full Name*

First NameLast Name
Phone Number*
E-mail*
example@example.com
Address*

Street Address

Street Address Line 2

CityState
Zip Code*
Area
Fill Q
{fillQ}

Virtual Playgroup Agreements
By signing up for a virtual playgroup series, the caregiver understands that we are asking for an 8-week commitment and that the caregiver will do their best to attend each playgroup and notify the facilitator if they are unable to attend. Failure to notify CCRC facilitators of two or more absences may result in the participants being dropped from the Virtual Playgroup Series.*

AgreeDisagree
You must be able to agree to an 8-week commitment and communicate any absences to facilitators in order to continue participating in the playgroup. If you are unable to make a commitment, please consider another CCRC activity, such as Story Time. If you have any questions, please email EveryoneRR@ccrcca.org
By signing up for a virtual playgroup series, the caregiver understands that they must be present with their child(ren) for the duration of the activity.*

AgreeDisagree
You must be able to agree to be present with the child(ren) during the majority of the activity. If you have any questions, please email EveryoneRR@ccrcca.org
By signing up for a virtual playgroup series, the caregiver affirms that they are a resident of Los Angeles or San Bernardino County, within areas served by Child Care Resource Center*

AgreeDisagree
You must reside in either Los Angeles or San Bernardino County, in order to participate in a CCRC virtual playgroup. If you need assistance in locating your local Resource & Referral agency, please email EveryoneRR@ccrcca.org
Thank you for your interest in CCRC's Virtual Playgroup Series. If you were placed on a wait list, a member of our team will contact you when openings become available. For all other registrants, a member of our team will reach out to you soon with additional details. Please submit your information usining the orange button below.
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VIRTUAL PLAYGROUPS REGISTRATION FORM

Grupos de Juego Virtuales

Please complete your contact details below:

Select a Playgroup Series

WAIT LIST

Additional Information

Virtual Playgroup Agreements