Forms & documents

Please note that MAP is not accepting registrations for the 2017-18 school year at this time.  We anticipate accepting registrations in April of 2017 (it is our practice to wait for the Medfield Public schools to make their assignments for Kindergarten (Full day, AM or PM K) before opening up our registration.  Please send an email to Gaye Shannon, the Executive Director, @


To register, please click on the registration form link for the program of your choice.  All registration forms should be mailed to P O Box 18, Medfield, MA 02052 and include a $50.00 registration fee for one child and $30.00 registration fee for each additional child.  Priority will be given to those registering by May 13, 2016.  In the event we receive more registrations than space allows, we will conduct a lottery.  We are currently full with a wait list for those in Full day K, but have space for families with children in half day.  Limited space is available for children in grades 1-6.

Jump Start MAP 2016-2017:  a program @ our Memorial site location for 4 and 5 year olds not yet in kindergarten, a wonderful enriching experience for your preschooler!

Kindergarten MAP 2016-2017: a program also at our Memorial site location for children enrolled in the Memorial school half day or full day kindergarten.  We are currently full for after full day kindergarten but still have space for those in half day Kindergarten.

Grades 1-6 2016-2017:    for children in grade 1 attending Memorial school, children in grade 2 and 3 attending Wheelock, and children in grades 4, 5, and 6 attending either Dale St. or the Blake Middle School.  Limited space available!


After you have mailed your registration form, the Executive Director will confirm your enrollment by asking for a two week refundable tuition deposit in late May.  Prior to starting MAP, you will be asked to complete a "Child Information Form" that provides us with contact information, authorized persons that you give permission for us to release your child with, along with emergency contacts and other important information that will help us care for your child.  Please feel free to contact Gaye Shannon @ 508.359.0003 or email:


​Child Information Form   (to be completed ONLY after you are accepted into the program)

All families must complete child information forms for their child prior to their child attending MAP.  Additionally if your child has an allergy or will need medication while they are at MAP, we ask that you make an appointment with your child's program director to discuss the concerns, drop off medication, and to assure the proper forms are completed. 

Child Information Forms - 2016-2017 FINAL.pdf   

For children in our Jump Start program, families must submit a physical and provide us with a developmental history.  Please use the form below:

MAP Jump Start Developmental History 6.16.pdf

Extra Day or Extended Day Form

Use the"Extra Day or Extended Day Form" form to sign up for an extra day or to extend your child's regular day (for Jump Start or AM Kindergarteners).  Please consult your child's program director to assure space availability.

Is there something conflicting with your MAPster's schedule?  Use the "Change of Schedule" form if you need to add or drop days.  Please complete this form and give it to your MAPster's Program Director.  We require a 2 week notice for any drops.  Additional days are subject to space availability.

Medical Forms

In order for any medication to be dispensed at MAP, the appropriate form must be completed and signed by both the child’s doctor and parent/guardian.  Please read through the different descriptions of each form and choose the appropriate one for the medication you wish to keep at MAP.  If you have any questions, please contact your child’s Program Director.

  • Severe Allergy Plan - For all severe allergies which require an antihistamine and/or an EpiPen.

  • Individual Health Care Plan - For any chronic condition, other than severe allergies, which require medical treatment such as asthma, ADHD (if medication is given at MAP), diabetes and non-severe allergies

  • Medication Consent Form - For both prescription and non-prescription medications that are NOT necessary for a severe allergy or a chronic condition. (examples: ibuprofen, antibiotics, etc)

Site Specific Forms for 2nd-3rd Grade Site :


Site Specific Forms for MAP @ the Pfaff Site:

Upcoming Special Sign-up Days

MAP Sign Up March 8 .pdf