Medfield Afterschool Program Jump Start Registration 2023-2024
Jump Start MAP is for children who are 4 & 5 years old and not yet in Kindergarten.  Children participating in the Memorial School Integrated Preschool, can be picked up or dropped off from MAP on their scheduled days.
MAP must have a minimum number of children enrolled in order for the program to run each day. Please complete one form per child.  Please complete by Monday, March 20, 2023.

Our first round of registration has passed.  Families are welcome to register as MAP accepts registration during the year, with enrollment dependent upon space availability.  If you have any questions, please reach out to annette.map@comcast.net.  Thank you!
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Email *
Parent/Guardian #1 Name: *
Parent/Guardian # 1 Phone Number: *
Parent/Guardian #2 Name:
Parent/Guardian # 2 Email Address:
Parent/Guardian # 2 Phone Number
Medfield Address: *
Child's First Name *
Child's Last Name *
Child's Date of Birth (children must be 4 years old to attend) *
MM
/
DD
/
YYYY
Child's Gender *
JUMP START MAP - Mornings - 8:30 a.m.-12:15 p.m.   Please select your requested schedule (if attending the Integrated Preschool @ Memorial in the afternoons, MAP staff will walk the children to preschool at 12:15) *
Required
JUMP START MAP - Afternoons - 11:15 a.m.-2:30 p.m.   Please select your requested schedule (if attending the Integrated Preschool in the mornings @ Memorial, MAP staff will pick them up from preschool at dismissal) *
Required
JUMP START MAP - Full Day - 8:30 a.m.- 2:30 p.m. Please select your requested schedule *
Required
If not requesting every day, do you have any flexibility with the days you chose?
Are you enrolling/re-enrolling a sibling at MAP? *
If Yes, name & grade of sibling for 2023-2024
To complete the registration process, please mail MAP a $50.00 registration fee ($30 for a sibling) by Monday, March 20, 2023. The registration fee is only deposited if you enroll in MAP.  Checks should be payable to MAP and mailed to P.O. Box 18 Medfield, MA 02052. Please write your child's name in the memo section of your check.  Please Type your name below as your signature.  Thank  you! *
A copy of your responses will be emailed to the address you provided.
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