Program Sign Up | Families First

Fill out the form below to sign up for the program that brought you here. (If you cannot see the form please press the reload button in the upper left-hand corner).

Program Signup

Program
Date
Please type the dates you plan to attend, or you may type "All" if you plan to attend all weeks in a series.*
Is this your first time attending a group and/or using child care at Families First or Goodwin?*
- Yes
- No
Name of 1st Adult*
First Last
Name of 2nd Adult
First Last
Town*
City State
Email*
Preferred Phone*
Other Phone
Questions or Comments
Child Care*
Free child care is offered for children up to age 12 while you attend, as long as space is available. Please provide information about each child for whom you are requesting child care. We will contact you within 1 business day to confirm that we are saving a space for your child(ren).
- Yes, I will need child care.
- No, I will not need child care.
Name of 1st child
Birth month / year
Medical conditions, allergies, notes
Name of 2nd child
Birth month / year
Medical conditions, allergies, notes
Name of 3rd child
Birth month / year
Medical conditions, allergies, notes
Name of 4th child
Birth month / year
Medical conditions, allergies, notes
Name
This field is for validation purposes and should be left unchanged.