Catholic Church of the Incarnation

Preschool & Mother's Day Out

^{360
Bray Station Road}

^{Collierville,
TN 38017}

^{Phone:
901-861-5414}

^{Fax:
901-854-0536}

^{Director:
Connie
Harlow}

^{Admin.
Asst.: Mary Bertus}

Spaghetti Dinner

Visa/MasterCard accepted for auction items.

Don't miss the opportunity to be awarded this go-kart

Click on the car above to find out how!

Forms

2010-11 Registration Form

Bring this form to registration on January 20th

2009-10 Registration Form

The following forms must be completed once your child has been accepted into the program. These forms must be submitted at Parent Orientation. These forms have not yet been updated for the 2010-2011 school year.

Enrollment Summary Form is ready for you to download, print, and complete. Bring to Parent Orientation.

Tennessee Preschool Immunization Certificate Please have your child's pediatrician complete. Bring to Parent Orientation.

Copy of Birth Certificate This must be kept in our files. If we do not already have a copy, bring a copy to Parent Orientation.

Health History Checklist Please complete and bring to Parent Orientation.

Catholic Diocese of Memphis Health Form and Medical Release. Please complete and bring to Parent Orientation.

Photo Consent Please complete and bring to Parent Orientation.

Before and After School Care If you are interested in Before School Care, please complete this form and bring to Parent Orientation.

School Supplies Bring your child's school supplies to Parent Orientation.

Please bring your child's supplies to orientation. (Not registration)

The Tennessee Department of Education requires that we must have a current Tennessee Preschool Immunization Certificate for your child. Please have your pediatrician’s office copy immunization records and current physical date onto the Tennessee form (the pediatricians have the form at their office) and then bring it to your orientation meeting.

If you are unable to print any of the above forms, we will have them available at Parent Orientation for you to fill out at that time.

^{Email
Connie Harlo}^w,
Director ^{Email
Mary Bertus, Administrative Assistant}

Incarnation Preschool and Mother's Day Out is licensed under the Tennessee Department of Education.

Visit Catholic Church of the Incarnation main website here.

Updated 01/08/2010