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  • Safe Rides & Bright Futures

  • Registration Form

    - SAN BERNARDINO COUNTY -
  • Thank you for your interest in CCRC's special event! 

    Join us for a free event that will provide education on proper car seat installation, car seat inspections by certified technicians, and, in some cases, free car seats.

    While attending, families will also have the opportunity to receive assistance registering for the CalKIDS scholarship.

  • For more information, please contact :

    Andrea Arceo (909) 550-0628 ~ AArceo@ccrcca.org or

    Alyssa Mandujano (909)279-2233 ~ Amandujano@ccrcca.org

  • Please enter your contact details below :

  • Format: (000) 000-0000.
  • {fillQ}

  • Event Details

  • - The event will take place at the CCRC San Bernardino office parking lot.

    - Upon arrival, the car seat will be inspected to ensure it is installed properly. If not, proper installation will be demonstrated. 

    - Clear access to the back seat and cargo area will be needed (SUV/Minivan). Please minimize objects in these zones.

  •  - It can take approximately 45–60 minutes per car seat. 

    - It is best if the child is present, but if not, please provide the child's age, weight, and height.

    - If available, please bring the vehicle and car seat manuals.

    - Limit: 1 car seat per child.

  • Please select event date/time :

    • SAN BERNARDINO CCRC OFFICE LOCATION 
    • WAITLIST 
    • If there are no spaces available, please select the waitlist option below.

      A staff member will contact you if space becomes available.

    • *Please select either the event date or join the waitlist to continue with this form.

  • Additional Information

  • 1. If you are an expectant mother, please enter your expected due date:
     - -
  • Rows
  • 3. How many children will you be bringing for car seat services?
  • Rows
  • Enter both age fields if applicable. 

    Example : 6 months = 0 years, 6 months

        2.5 years = 2 years, 6 months

     

  • CalKIDS Scholarship

  • CalKIDS provides free college savings accounts for eligible California children to help pay for future education. Families can check eligibility and claim their child's account during this event by bringing the following information:

  • Newborns

    - California county of birth
    - Child’s date of birth
    - Local Registration Number (from the birth certificate), or CalKIDS code (from the notification letter mailed to your home)


    Students

    - California county where the student’s school is located (as of Fall Academic Census Day)
    - Student’s date of birth
    - Statewide Student Identifier (SSID) (available from your child’s school), OR CalKIDS code (from the notification letter mailed to your home)

  • Event Agreements

  • To ensure we can provide effective support to all attendees, we kindly ask that only registered participants join this event.*
  • You must be able to agree to this commitment in order to complete this form. Please email EveryoneFRC@ccrcca.org for more information.

  • By signing up for this event, the participant agrees to do their best to attend and notify CCRC staff if they are unable to attend.*
  • You must be able to agree to this commitment in order to complete this form. Please email EveryoneFRC@ccrcca.org for more information.

  • By signing up for this event, the participant affirms that they are a resident of San Bernardino County.*
  • You must reside within San Bernardino County to participate in this event. If you need assistance locating your local Family Resource Center, please email EveryoneFRC@ccrcca.org

  • Should be Empty: