Please Note the Following Summer Details:
Our program this year will be FIVE days per week.
SCC summer days are 8 am to 4 pm $420/week.
Extended day option (4 - 6 pm) rate - $20 per day
SCC is closed the week of July 4th
SHED Children’s 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.
Transportation
SHED Children’s Campus FAMILY INFORMATION FORM 2021-2022
ADDITIONAL INFORMATION:
SHED Children’s Campus FIRST AID AND EMERGENCY MEDICAL CARE, TRIPS AND PHOTOS AUTHORIZATION AND CONSENT FORM 2021-2022
Emergency contacts (In order to be contacted)
SHED Children’s Campus 2021-2022 Child Medical Alert Form
If your child has an allergy/medical condition, please fill out this form.
MEDICAL EMERGENCY TREATMENT:
I hereby give Kid’s Club permission to administer basic first aid and/or CPR to my child,
and/or take my child, to a hospital and to secure medical treatment when I cannot be reached or when
delay would be dangerous to my child’s health.
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 Children’s Campus FINANCIAL AGREEMENT FORM 2022
SHED Children’s Campus Summer 2022 Developmental History (Caterpillars, Monarch & Jr. Adventures ONLY)
Personal History
Health
Eating
Toilet Habits
Sleeping Habits:
Social Relationships: