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  • Registration Form for Dads

    Registration Form for Dads

    San Bernardino County

  • Thank you for your interest in CCRC's Special Event for dads & father figures.

    Please complete the form below to register.

  • Which best describes you?*

  • Please complete your contact details below:

  • Format: (000) 000-0000.

  • Thank you for your interest. This form cannot be completed. At this time, this event is only open to dads, expectant dads or father figures. If you have any questions, please contact EveryoneFRC@ccrcca.org

    Gracias por su interés. Este formulario no se puede completar. En este momento, este evento está abierto únicamente a padres, futuros padres o figuras paternas. Si tiene alguna pregunta, por favor comuníquese con EveryoneFRC@ccrcca.org

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  • Select Event Location:

  • Dad events will be held at the San Bernardino & Victorville CCRC office locations. 

    You may select the location most convenient for you.

    If you have any questions, please contact EveryoneFRC@ccrcca.org

  •  - Please select a date below to proceed -

    • San Bernardino - Saturday June 6th, 2026 - 11:30 AM – 2:30 PM 

    • Captain of the Crew: Leading Your Family with Purpose

      • Leadership without control
      • Setting direction while staying flexible
      • Modeling healthy masculinity
      • Captain hats for all!

      *This is a dad only event & child care will be available

    • Victorville - Saturday June 6th, 2026 - 10:00 AM – 12:00 PM 

    • Donuts with Dads

      • Kids just want Donuts + Dad time = best morning ever
      • Enjoy donuts, coffee, laughs, and quality time with your kids
      • Open to all dads and father figures, don’t miss it!

      *Child care is not offered but children are encouraged to attend the event with dad.

    • *Please select an event location to proceed with this form.

  • Additional Information

  • Will there be any children attending the event with you?*

  • Additional Information

  • To ensure a comfortable and enjoyable experience for all guests, child care will be available on site during this event.

  • To help us plan accordingly, please answer the following questions:

  • To help us plan accordingly, please answer the following question:

  • 1. How many children will be attending?*
  • 2. What are the ages of the children attending the event? (Select all that apply)*

  • Demographics

  • The questions below will help us understand more about the population we serve. The information you share will not affect the services you receive from CCRC.

    The questions marked with a red asterisk (*) are required while the others are optional.

  • 1. What is your race? (please select all that apply)*
  • 2. What language(s) do you speak at home? (Please select all that apply)*
  • 3. How do you indentify your gender?
  • 4. Do you identify as any of the following? (Please select all that apply)
  • 5. What is your annual household income?
  • 8. What are the ages of the children in the home? (Select all that apply)*
  • 9. What is your relationship to the child(ren) in your care?*
  • 10. What is your experience with child care financial assistance (subsidy) from CCRC?
  • 11. What is the highest degree or level of school you have completed?
  • 12. What is your age group?

  • Event Agreements

  • To ensure a comfortable and enjoyable celebration for everyone, we kindly ask that only registered participants attend this event.*

  • To participate in this event you must be able to agree to attend only if you are a registered participant. If you have any questions, please contact EveryoneFRC@ccrcca.org

  • By signing up for this event, 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. If you or the child(ren) are not feeling well or have COVID related symptoms, we kindly ask that you rest at home and join us another time.*

  • To participate in this event, you must be able to agree to this commitment. If you have any questions, please contact EveryoneFRC@ccrcca.org

  • By submitting this form, the participant affirms that they are a resident of San Bernardino County, within areas served by Child Care Resource Center.*

  • To participate in this event, you must reside in San Bernardino County, within areas served by CCRC. If you need assistance locating your local Family Resource Center, please email EveryoneFRC@ccrcca.org

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