Summer Program Forms

Please download the appropriate form, fill out, then mail to After School Club, 60 Forest Park Road, Woburn, MA 01801-24397, or fax to (781) 569-0052.

• 2012 Summer Registration
• Child's Information
• After School Club Rules
• First Aid/Emergency Medical Care/Transportation Authorization and Consent
• Food/Bee Allergy Action Plan - For food or bee allergies that require an EPI Pen or anti-histamine only.
• Medication Consent - For inhalers, over the counter medications, and prescriptions other than EPI Pens (i.e antibiotics for ear infections).
• Individual Health Care Plan - This form is to be used for all chronic health conditions including: asthma, allergies that require an EPI Pen, diabetes, adrenal insufficiency, seizures, lactose intolerance that requires medication, etc.