Reunions 2026 Childcare Signup—No photo upload required

Note: Photo uploads are not required on this version of the form. However, photos are still required and must be emailed to us after you submit this form at reunions@deerfield.edu. We will reach out if we have any questions.

Need help? If you have any problems filling out this form, please contact reunions@deerfield.edu or call 413-774-1483.

General Information

How many children are you registering?(Required)

Childcare Sessions(Required)

Friday Night: 8 pm – 11 pm

Saturday Morning: 9 am – 12:30 pm

Saturday Night: 5 pm – 11 pm

Child 1 Information

Name(Required)

First Last

Does this child have permission to leave the program independently?(Required)

Yes, my child can come and go as they please

No, I would like my child to remain in care until I come to pick them up

Age(Required)

Please enter a number from 3 to 12.

Dietary restrictions/allergies

Does your child have any allergies we should be aware of? If so, please provide necessary details

Child 1—Reference Photo

Drop files here or

Accepted file types: jpg, gif, png, heic, Max. file size: 256 MB, Max. files: 3.

Child 2 Information

Name(Required)

First Last

Does this child have permission to leave the program independently?(Required)

Yes, my child can come and go as they please

No, I would like my child to remain in care until I come to pick them up

Age(Required)

Please enter a number from 3 to 12.

Dietary restrictions/allergies

Does your child have any allergies we should be aware of? If so, please provide necessary details

Child 2—Reference Photo

Drop files here or

Accepted file types: jpg, gif, png, heic, Max. file size: 256 MB, Max. files: 3.

Child 3 Information

Name(Required)

First Last

Does this child have permission to leave the program independently?(Required)

Yes, my child can come and go as they please

No, I would like my child to remain in care until I come to pick them up

Age(Required)

Please enter a number from 3 to 12.

Dietary restrictions/allergies

Does your child have any allergies we should be aware of? If so, please provide necessary details

Child 3—Reference Photo

Drop files here or

Accepted file types: jpg, gif, png, heic, Max. file size: 256 MB, Max. files: 3.

Child 4 Information

Name(Required)

First Last

Does this child have permission to leave the program independently?(Required)

Yes, my child can come and go as they please

No, I would like my child to remain in care until I come to pick them up

Age(Required)

Please enter a number from 3 to 12.

Dietary restrictions/allergies

Does your child have any allergies we should be aware of? If so, please provide necessary details

Child 4—Reference Photo

Drop files here or

Accepted file types: jpg, gif, png, heic, Max. file size: 256 MB, Max. files: 3.

Child 5 Information

Name(Required)

First Last

Does this child have permission to leave the program independently?(Required)

Yes, my child can come and go as they please

No, I would like my child to remain in care until I come to pick them up

Age(Required)

Please enter a number from 3 to 12.

Dietary restrictions/allergies

Does your child have any allergies we should be aware of? If so, please provide necessary details

Child 5—Reference Photo

Drop files here or

Accepted file types: jpg, gif, png, heic, Max. file size: 256 MB, Max. files: 3.

Parent(s) Contact Information for Reunions Weekend

Parent 1—Name(Required)

First Last

Cell Phone(Required)

Parent 2—Name

First Last

Cell Phone

Emergency Contacts If Parents Cannot Be Reached

Persons Authorized to Pick Up Child(ren) / Emergency Contact if Parents Cannot Be Reached

Emergency Contact 1—Name(Required)

First Last

Relation to Child(Required)

Cell Phone(Required)

Emergency Contact 2—Name

First Last

Relation to Child

Cell Phone

Additional Information

Do you give permission for your child(ren) to be photographed?(Required)

Yes

Please add your initials(Required)

Potty trained?(Required)

I confirm my child(ren) is/are potty trained.

It is required that all children attending childcare are potty trained in order to attend.

Please add your initials(Required)

Comments

Please list any special issues that your child may have such as allergies, existing illnesses, previous illnesses, and injuries during the past twelve months, any medications taken for long-term use, and any other information which staff should be aware of:

Signature

Please type your full name in place of a signature.

Name(Required)

First Last Suffix

Email(Required)

Date(Required)

Reunions 2026 Childcare Signup

Deerfield Academy Reunions 2026 Childcare—Photos not required

General Information

Child 1 Information

Child 2 Information

Child 3 Information

Child 4 Information

Child 5 Information

Parent(s) Contact Information for Reunions Weekend

Emergency Contacts If Parents Cannot Be Reached

Additional Information

Signature