Summer Program Enrollment Forms

The following forms must be completed prior to enrollment in our summer program

(Click the links below to download and print each form. Hard copies of each form are also available for pick-up at the center)

- Child Enrollment Form

- Emergency Care Consent Form

- General Off-site Permissions Form

- Transportation Plan Form

If your child has allergies or any health conditions that require special attention or medication, please fill out these forms as well:

- Individual Health Care Plan

- Medication Consent Form

 224 Washington St Brookline MA 02445

(857) 210-9122

© 2015 by The Golden Chickpea Center