Family Resources & Community Connections, Inc.

Empowering and Positively Impacting Children, Families and Under-served communities by addressing social needs and issues through education, prevention and awareness.

Menu + × expanded collapsed

Home
About Us
Who We Are
News
FRCC Program Registration
FRCC Vendor, Donor & Sponsor Registration
Make A Donation

FRCC Program Registration

← Back

Thank you for your response. ✨

Thank you for your submission. Our program registrar will be in touch soon. Family Resources and Community Connections, Inc.

Who are you registering? (required)

Warning

Programs for which you are registering?(required)

Warning

Text

Warning

Parent/Guardian First Name(required)

Warning

Parent/Guardian Last Name(required)

Warning

Primary Address (required)

Warning

Primary City/State (required)

Warning

Zip Code(required)

Warning

Email(required)

Warning

Phone Number(required)

Warning

Preferred Contact Method(required)

Warning

Child’s Name (Write n/a if you are registering for an adult or organization focused program.)(required)

Warning

Child’s Age (Write n/a if you are registering for an adult or organization focused program.)(required)

Warning

Child’s Date of Birth (MM/DD/YY) (Write n/a if you are registering for an adult or organization focused program.)(required)

Warning

Child’s Ethnicity/Race(required)

American Indian or Alaskan Native Asian/Pacific Islander Black or African American Hispanic or Latino White/Caucasian American Indian or Alaska Native Asian/Asian American Middle Eastern or North African Native Hawaiian or other Pacific Island Bi-Racial/Multi-Racial Multiple ethnicity/Other Registration for Adult or Organization

Warning

Gender(required)

Women/girls Men/boys Non-binary I prefer not to say Registration for Adult or Organization

Warning

How did you hear about us?(required)

Warning

Do you grant permission for yourself, organization or your child participating in FRCC Programs to appear in any photos from our sessions or on social media or other marketing materials?(required)

Warning

Warning.

Like this:

Like Loading...

Family Resources & Community Connections, Inc., WordPress.com.

Thank you for your response. ✨

Share this:

Like this: