Family Registration

Join Families Count today. Registration is free and takes about 5 minutes.

Register for a Class

Select Your Class Location *

Class Location *

Choose the class location that works best for your family.

Primary Client Information

FSFN (Service ID) *

First Name *

Last Name *

Additional Adult First Name (Optional)

Additional Adult Last Name (Optional)

Referring Case Worker *

Case Worker Email *

The case worker will receive email notifications when this referral is approved or denied.

Contact Information

Phone Number

Email Address

Street Address

Apartment, Suite, etc. (Optional)

City

State

ZIP Code

Family Information

Number of Children in Household

Services Your Family May Need

Childcare during classes

Transportation assistance

Additional Information (Optional)

Share any relevant information to help us better support your family.

Privacy & Consent

I agree that my family's information will be used to provide Families Count services and to communicate about classes and programs. *

Your information is protected by HIPAA and state privacy laws. We never share your data without permission.

Questions? Contact us at info@familiescountfl.org