Program Information
All programs require a 30-day notice to make any schedule adjustments.
dietary restrictions, allergies, chronic health conditions, ect.
Child Identifying Information
Required by the Early Education and Care (EEC) Regulations:
SHED Before & After School Programs
Please select the days attending
Forest Kindergarten (8:30 AM - 3:30 PM) Mon - Fri
Please select the extended time and day if applicable.
Springboard to Kindergarten – (8:30 AM - 3:30 PM) Mon - Fri
Please select the extended time and day if applicable.
Monarch Preschool
Please select the days and time your child will be attending:
Caterpillars Toddler Program
Please select days attending:
SHED Childrens Campus TRANSPORTATION AND RELEASE AGREEMENT 2021-2021
RELEASE INFORMATION I give my permission for my child to be released from SHED Children’s Campus at the end of the day to my spouse and/or to the following people. If no one other than you or your spouse is authorized, please indicate by writing NO ONE next to the NAME.
SHED After School Only
In the unusual event that my child should take the bus home by mistake instead of coming to Kids Club, this is the name of a neighbor who might be home and who could be contacted:
Caterpillars, Monarch, Springboard & Nature Based K ONLY
SHED Childrens Campus FAMILY INFORMATION FORM 2021-2022
(if not applicable write N/A)
(if not applicable write N/A)
SHED After School Only
(if not applicable write N/A)
(if not applicable write N/A)
(if not applicable write N/A)
(if not applicable write N/A)
(if not applicable write N/A)
SHED Children's Campus FIRST AID, CPR, EMERGENCY MEDICAL CARE, TRIPS AND PHOTOS AUTHORIZATION AND CONSENT FORM 2021-2022
Emergency contacts (In order to be contacted)
SHED Childrens Campus FINANCIAL AGREEMENT FORM 2022-2023
SHED Childrens Campus 2021-2022 Child Medical Alert Form
If your child has an allergy/medical condition, please fill out this form.
Tooth-brushing Authorization or Waiver
Our licensing Agency, EEC has established a new policy regarding tooth-brushing. The policy states that if a child is in a program for more than 4 hours and if he/she eats a meal while at the program, then the child should have the opportunity to brush his/her teeth. Parents may, however, sign a statement indicating that their child does not need to brush while at the program.
SHED, INC. Permission Form for Use of Minor's Picture On the Internet
(A minor is any person 17 years of age and younger.) This letter is a request for permission to use photographs of your child on the: • Official SHED, Inc. Web Site on the Internet • SHED, Inc. Facebook, Instagram & Twitter page on the Internet • In SHED, Inc. promotional literature. The images are used on the Internet to promote a wide range of activities, however; the use of images is strictly controlled to best assure safety and confidentiality. Images displayed on the Internet will not be identified by name or any other identifying information. Please return the form on the back to indicate that your child's picture may or may not be used on the Internet. This permission will stay in effect until canceled by the parent or guardian. If you wish to cancel your permission and have your child's picture(s) removed, please contact the Webmaster at 978-684-5055 (Linda) and the pictures will be removed. Allow 3-5 working days for removal. Thank you for your cooperation. Linda Shottes-Bouchard Executive Director SHED Inc. 65 Phillips Street ~ Andover, MA 01810 ~ 978-684-5055 ~ FAX 978-636-4800 ~ www.shedchildrenscampus.org
SHED, Inc. Permission Form for Use of Minor's Picture On the Internet
MEDICAL EMERGENCY TREATMENT:
I hereby give SHED Children's Campus permission to administer basic first aid and/or CPR to my child, and/or take my child, to a hospital to secure medical treatment when I cannot be reached or when delay would be dangerous to my childs health.
Dear Families.
SHED Children’s Campus is a wonderful family unit for all of us. We understand that family life is busy – filled with responsibilities, obligations, home life, school & work life, play and all of the fantastic extras. We are honored to be a part of your life and we recognize that some of your children’s time here comes with guidelines. We hope this form will help define some of those responsibilities. There are many extra days to sign up for, times to be here by, phone calls to make, etc.
SHED Children’s Campus Family Contact List Authorization 2021-2022
The SHED Childrens Campus Contact List will contain the names, addresses, telephone numbers, email addresses, and parents names of all the students in the program whose families wish to participate. The contact list will be broken down by program (Monarch, Springboard to Kindergarten, Kids Club). Once compiled, a copy of the list will be distributed to each family. All parents should complete the bottom portion of this form indicating their wishes concerning the directory. Please return it with your other enrollment forms ASAP so we may expedite the directory distribution in the fall.
If you answered yes, please fill out the below fields:
You have my permission to print the following information:
Caterpillars, Monarch & Springboard ONLY SHED Childrens Campus 2022-2023 Developmental History
Personal History
Health
Eating
Toilet Habits
Sleeping Habits:
Social Relationships: