Welcome to the Harbor Family Resource Center!

Which location are you visiting today?(Required)

What statement describes you?(Required)

I receive services from the Regional Center.

I am a Parent/Caregiver.

I am a Family Member.

I am a Service Provider.

I am a Service Coordinator.

Other

Other(Required)

Full Name of Person Served(Required)

Please provide information for the person who receives services from Regional Center.

Are they 0-3 years old?(Required)

Yes

No

UCI #

Have you visited our Family Resource Center before?(Required)

Yes

No

Preferred Language(Required)

Name

First Last

Phone

Email

Family Resource Center Sign-In