Kempenfelt Bay School - Admissions Application Form

Thank you for your interest in Kempenfelt Bay School. Please note that 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. Please note that this 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

Who should be contacted regarding the application?

Please indicate who has legal custody of the applicant

Please select who should receive billings

Applicant Academic & Medical Information

Is the applicant in any of the following streams?

Does your child have a psychoeducational assessment and/or an IEP?

Please note that admissions office requires a copy of the applicant's psychoeducational assessment and/or an IEP if there is one available.

If you selected Yes, please indicate the medication or allergies the applicant has.

How did you hear about Kempenfelt Bay School?

Please include the applicant's most recent report card

Please attach the applicant's June 2019 Report Card

Please attach a recent photo of the applicant

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


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