Application for PreK

Thank you for choosing Our Lady of Mount Carmel School PreK Program. We can promise you that you will absolutely love our program! We will be in contact with you shortly. Thank you.

Child's Name

Your Email

Child's Date of Birth

Name of Parent(s)

Best contact phone number

Please describe your child briefly.

Is your child attending any other daycare or PreK program? If yes, please provide the name of the program and reason for leaving.

Does your child have any known health problems or any known allergies?

Please check off any developmental concerns you have regarding your child.

Please explain any concerns

Has your child had an evaluation from Birth to Three? If yes, does your child receive Birth to Three services?

Is your child fully toilet trained?

Our Lady of Mount Carmel School
Waterbury, CT

Keeping our eyes on the future and our hearts in the past

Application for PreK