Provider Networking/ UPK Information Session
Name/ Nombre
First Name/ Nombre
Last Name/ Apellido
Email/ Correo Electronico
example@example.com
Phone Number/Numero Telefonico
Please enter a valid phone number.
California Workforce Registry ID/ Numero de Registro
Provider Type
*
Please Select
Family Child Care
Child Care Center
Select your county/ Seleccionar su condado
*
Please Select
Los Angeles
San Bernardino
Select session/ Seleccionar sesión
Please Select
Español 12/9/2025- 6:00pm- 8:00pm
English 01/14/2026- 6:00pm- 8:00pm
Espa
Zip Code/Código Postal
*
Submit
Should be Empty: