Story Time Participant Registration
Thank you for your interest in CCRC's virtual Story Time events. Please complete the form below to register.
Full Name
*
First Name
Last Name
Are you attending a Virtual Story Time with CCRC for the first time?
*
Yes
No
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Caregiver Contact Details:
Zip Code
*
5-digit Zip Code
Phone Number
-
Area Code
Phone Number
E-mail
*
How did you hear about CCRC Story Time (check all that apply)
CCRC Website
E-mail Newsletter
Social Media
Word of Mouth (Friend, family member, child care provider, etc.)
Other CCRC Event
Story Time Selection:
Select a Story Time
Select a Story Time
*
Participant Info:
What is your relationship to the child(ren) participating? (Check all that apply)
*
Parent
Grandparent
Other relative
Not related (friend, etc.)
How many Children are attending?
*
1
2
3
4
5
6
7
8
9
10
Age(s) of child(ren) (Check all that apply)
*
Infant/Toddler
Preschool-age
Kindergarten
Elementary school age
Middle school age
Submit
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