​​​Forms & documents

To Register for MAP 2019-2020 -MAP Registration forms will be available on  our  website once the Medfield Public School completes their kindergarten assignments.  In order to register for MAP, families must know their child’s placement/schedule (Preschool—Jump Start or Kindergarten AM, PM or Full Day). To get on our e-mail list, please E-mail annette.map@comcast.net and in the subject line write JUMP START 2019-2020 or    KINDERGARTEN 2019-2020.    In your e-mail please provide us with:  your name, your child’s name, phone number and your preferred email  address. Or call (508) 359-0003 and provide us with the same information. 

To Register for MAP 2018-2019:

Jump Start MAP 2018-2019:  a program @ our Memorial site location for 4 and 5 year olds not yet in kindergarten, a wonderful enriching experience for your preschooler!  We do still have space in our Jump Start program!

Kindergarten MAP 2018-19: a program also at our Memorial site location for children enrolled in the Memorial school half day or full day kindergarten.  Space is still available for families with AM or PM Kindergarten but we are full in our Full Day K after school program with a wait list.

Grades 1-6 2018-2019:    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.  Please note that we currently have a wait list for grades 1-6 for the 18-19 school year.

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: gayeshannon@verizon.net


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

All confirmed 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. 

Click here>> to download a child information form for the 18-19 (must be confirmed)

For children in our Jump Start program, in addition to the child information form, families must submit a physical and provide us with a developmental history. Click here>> to download the developmental history form.

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.  Click here>> for the extra/extended day form.

Schedule ChangesIs there something conflicting with your MAPster's schedule?  Please email the Executive Director or your Child's Program Director to notify them of the change.  MAP requires 2 weeks notice request additional day or to drop days. Additional days are subject to space availability. Please be sure to notify your child's teacher & school of schedule changes.

Health Plans:If your child has a health or medical condition, allergy, takes medication at home, at school or will need to have medication at MAP, please speak with your child's Program Director prior to starting MAP.

In order to keep children safe at MAP, children with a health or medical condition, allergy, medications that are taken at home, at school or may need to have medication at MAP, the appropriate form must be completed and signed by both the child’s doctor/health care provider and the parent/guardian.  Please read through the different descriptions of each form and choose the appropriate one that pertains to your child. 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.  Click here>>to download the severe allergy form

  • Individual Health Care Plan - For any chronic condition, other than severe allergies, which require medical treatment such as asthma, ADHD, diabetes, epilepsy,  and non-severe allergies  Click here>> to download the individual health care form.

  • 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)  Click here>>to download the medication consent form.

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

Site Specific Forms for MAP @ the Pfaff Site:



Upcoming Special Sign-up Days: