Registration
Let us know you are coming!
Name
First Name
Last Name
Affiliation
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Please check all that applies to you:
Parent
Volunteer
DCFS Resource Parent or Caregiver
DCFS Parent
Social Worker
Case manager
Other
If answered "Other: above, please specifiy:
Please indicate which sessions you will attend. All sessions will be on Wednesdays at Calvary Life Church from 5:30-8:30 pm.
Foundations & Creating Felt-Safety: Wednesday, September 17,2025
Empowering & Connecting Principles: Wednesday, September 24, 2025
Correcting & Putting It All Together: Ocotber 1, 2025
Please share any dietary needs or restrictions:
DCFS Parents, Caregivers and Resource Parents
Please complete this if you are interested in the partial child care reimbursement that will be provided for your participation in the training. A follow-up email will be sent to you with more instructions.
Are you interested in receiving a partial child care reimbursement?
Yes
No
If yes to the above, how many children will you be needing child care?
If requesting a partial child care reimbursement, please complete the information below. The reimbursement rates are based on the number of children and the number of hours of care per training day. Ages covered are from infant to 8th Grade.
ONE child, the rate ranges from $9.00 for one hour to $36.00 for four hours.
FTWO children, the rate ranges from $9.50 for one hour to $38.00 for four hours
THREE children, the rate ranges from $10.00 for one hour to $40.00 for four hours.
FOR children, the rate ranges from $10.50 for one hour to $42.00 for four hours.
GROUP SITTING FOR FIVE OR MORE children, the rate is a flat $11.00 per hour.
Which DCFS Office or Organization referred you?
Torrance
South County
Communities in Motion
Reconcile Long Beach
Staff, social worker or contact who referred you:
Questions or Comments
Submit
Should be Empty: