Kempenfelt Bay School - Admissions Application Form

Thank you for your interest in Kempenfelt Bay School. Please complete all sections of the following application form. 

The following items are required to complete an application.
  • $100 non-refundable application fee (please e-transfer to
  • Photo of the applicant
  • Copy of the applicant's birth certificate or passport
  • Most recent report card or progress report
  • Final June report card from the two previous academic years (This is not required of applicants to Junior Kindergarten - Applicants to Junior Kindergarten should submit a teacher letter if they are enrolled in a pre-school or daycare program.)
  •  Psychoeducational assessments, if applicable
  • IEP, if applicable
If you do not attach the required supporting documents, please email them to

Applicant Information

Parent Information

Family Information

In the case where separated or divorced parents share joint custody of the applicant, we require contact information for both parents to proceed with an admissions application.

Applicant Academic & Medical Information

How did you hear about Kempenfelt Bay School?

Please attach a recent photo of the applicant

Please attach a copy of the applicant's birth certificate or passport


Upload Image

To crop this image, drag a region below and then click "Save Image"