REGISTRATION

Please fill out form below completely then click on the submit button. Please DO NOT use abbreviations-spell out Lane, Street, Road, etc.

Please do NOT use the form below for Address Changes! If you have an address change, please email us at info@ferstfoundation.org with your child's name, your name, your old address, and your new address and phone number.

If you would like to submit your registration through the mail please print, fill out, and mail the printer friendly form, click here.  Please do not send in a form if your county is not listed as a participating community. If you have questions please e-mail us at info@ferstfoundation.org or call us at 888-565-0177.

We are currently accepting online applications for residents of the following Georgia counties:

BULLOCH • Butts • Calhoun • Candler • Carroll • Chattahoochee • Cherokee • Coweta • Dawson • Dodge • Dougherty • Evans • Fannin • Fayette County • Gilmer • Glascock • Grady • Greene • Hall • Hancock • Haralson • Harris • Jasper • Jefferson • Lamar • Laurens • Mcduffie • Mcintosh • Monroe • Morgan • Muscogee • Pickens • POLK • Putnam • Rabun • Seminole • SPALDING • Sumter • Talbot • Taliaferro • UNION • Washington • WEBSTER • WILCOX • Wilkinson

 Child's Information 
First Name:
Last Name:
Date of Birth:

If your child was born before April, 2009, they are not eligible for this program.
Sex:
Ethnicity:

Mailing Address:
 
City
State, Zip
Certification of County
Please indicate whether this child is under the age of 5 and a resident of a participating county:
Specify the County:

 
 Parent/Care Giver's Information 
First Name
Last Name
Phone Number
Email Address

Providing your email address is optional, but it will allow us to communicate with you more efficiently.  We will not share your email address with any outside parties.
Leap into Books Newsletter:
FFCL uses data from school test scores to regularly evaluate its program effectiveness. May we include your child in our data collection?