​​​​Forms & documents



To Register for MAP 2019-2020 -MAP Registration forms are available by clicking on them below. In order to register for MAP, families must know their child’s placement/schedule (Preschool—Jump Start or Kindergarten AM, PM or Full Day).  Priority is given to families with siblings currently in the program, families currently on the wait list for the 18-19 school year and to those registering before March 15. MAP does its very best to accommodate all families but in some cases, a lottery may be done.


Jump Start MAP 2019-2020:  a program at our North Street/Memorial School location for 4 and 5 year olds not yet in kindergarten, a fun & enriching experience for preschool aged children.   


Kindergarten MAP 2019-2020:  a program at our North Street/Memorial School location for children enrolled at the Memorial school in half day or full day kindergarten. 


Grades 1-6 2019-2020:    programming for children in grade 1 attending the Memorial school, children in grades 2 & 3 attending the Wheelock school, and children in grades 4, 5, and 6 attending either the Dale Street school or the Blake Middle School.


After you have mailed your registration form, the Executive Director will confirm your enrollment by asking for a two week refundable tuition deposit. 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 Annette Gallagher @ 508.359.0003 or email: annette.map@comcast.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, chronic condition, 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 issue/concern, drop off medication, and to assure the proper forms are completed. 



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 to make a schedule change (request additional day, drop days, or leave the program). Additional days are subject to space availability. Please be sure to notify your child's teacher & school of and schedule changes.



Health Plans: In order to keep children safe at MAP, families with children having a health or medical condition, allergy, who take medicine at home or school, or who may need to have medication at MAP, are required to:  contact their child's program director, complete the appropriate plan/forms below, and have it signed by both the child’s licensed health care practitioner and the parent/guardian.  Please read through the different descriptions of each form to choose the appropriate form that pertains to your child. If you have any questions, please contact your child’s Program Director.


Meghan Jackson                                                  Alex Sakash                                                         Kurt Jackson
JS- K-1 Program (508) 359-2165                         2-3 Program (508) 359-8513                               MAP @ Pfaff Program (508) 359-2168
Meghan.map@comcast.net                                 Alex.23map@gmail.com                                      kurt14.map@gmail.com        


Families completing a Sever Allergy Action Plan or an Individual Health Care Plan for their child must set up a time to meet with their child's program director prior to the child's attendance at the program.  The purpose of this meeting is to review completed paperwork, drop off & train staff on medication administration (if any), and review health issues/concerns.

 

  • 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: