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

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Spaghetti Dinner
Speech Therapy

Spaghetti Dinner

Forms

Enrollment Form 2008-2009 form now available to print from our site.  Just click on the link above and print directly from that page.

2008-2009 registration begins on January 23, 2008 at 8:30 a.m.

The following forms must be completed once your child has been accepted into the program. These forms must be submitted at Parent Orientation.

Enrollment Summary Please complete and bring to Parent Orientation.

Tennessee Child Health Record Please have your child's pediatrician complete.  Bring to Parent Orientation.

Copy of Birth Certificate This must be kept in our files.

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)  If you're looking for a supply list, click here.

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

REVIEW:

    Bring to Parent Orientation

        Enrollment Summary

        Tennessee Child Health Record

        Copy of Child's Birth Certificate

        Health History Checklist

        Diocese of Memphis Health Form & Medical Release

        Photo Consent

        Your Child's Classroom Supplies

 

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 Harlow, Director     Email Mary Bertus, Administrative Assistant

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

(c) 2008 Catholic Church of the Incarnation Preschool & MDO Program all rights reserved.  Do not copy without permission.

Visit Catholic Church of the Incarnation main website here.

Updated 12/15/2008