Admissions

Legal First Name

Last Name

Middle Name

Student also known as

Birth Date MM/DD/YY (YYYY-MM-DD)

How do you identify?

Grade Entering

E-mail of Student

Alberta Health Care #

Treaty #

Band Name

How do you identify? Status Non-status Metis Inuit Other

Box #

Town

Postal Code

Are you currently living on Kapawe'no First Nation?

If you do not currently reside on Kapawe'no First Nation, please specify which nation you are currently living on?

Street Address and Home Number

Location Description:

Legal Land Description:

Is busing (school bus transportation) required?(required)

Yes

Pick-up location (If different than home address)

If drop off location is different from pickup please make note here of the name of the resident, house number and contact phone number.

By signing this, the Parent/Guardian give permission for their child to use the student transportation services provided by Kapawe'no First Nation Collegiate. I understand that my child is expected to follow all safety rules and conduct guidelines while being transported. I acknowledge that the school and transportation provider are not liable for any incidents resulting from failure to follow these guidelines. I agree to notify the school of any changes to my child's transportation needs or pick-up/drop-off location. Please type your name as signature below.

Student resides with: circle one both parents / mother only / father only / joint custody / kokum / mosum / legal guardian

Name of Legal Guardian #1

Guardian #1 Treaty Number (If applicable, if not put N/A)

Relationship

Phone:

Work Phone

E-mail of Guardian

Cellphone

Name of Emergency Contact #1

Relationship to Emergency Contact #1

Phone/Work Phone/Cellphone

Name of Emergency Contact #2

Relationship to Emergency Contact #2

Phone/Work Phone/Cellphone

In the event of an emergency, does the above contact(s) have permission to pick the student up from school?

Yes

Last School Attended:

Last Grade Attended

Last School Address

Last School Phone#

Is the student currently under supervision by another school?

Has the student been expelled from school?

Was the student readmitted?

Special Needs: please identify any special needs, learning difficulties or special education programs your child has or will need.

Name of family doctor

Contact # of Doctor

Please identify and explain any special medical conditions, problems or allergies. ( i.e. eye glasses, hearing aids, diabetes, seizures):

Does your child require medication? Please list:

I hereby consent for my child to receive necessary medical attention while under the care of Kapawe'no First Nation Collegiate. I authorize school staff to administer prescribed medication or basic first aid as needed, according to the instructions provided by myself or a licensed healthcare professional. In the event of a medical emergency, I authorize the school to take appropriate action, including contacting emergency medical services and having my child transported to a medical facility if required. I understand that every effort will be made to contact me immediately in the case of an emergency.(required)

Yes

In the case of medical emergency where the parents of designated contact cannot be contacted, permission is given to the Principal to have my child taken to the hospital and/or have emergency treatment administered: Please type YES or NO(required)

Yes

I would like to Register for Kapawe’no First Nation Collegiate...

I hereby give permission to the Kapawe'no First Nation School to administer any achievement, diagnostic, screening tests that may be beneficial to the educational planning for my child.

Yes

In order to provide all of our students with the opportunities to be successful in their Lifelong Learning Educational Programming, we apply yearly to the federal government for funding using Jordan's Principles. If your child needs secondary level services such as Speech and Language, Occupational Therapy, or Educational Assessments we can provide that service through Jordan's Principle. Resources that are needed to equip our schools to further support your child such as textbooks, technology, cultural supplies, musical instruments, outdoor education equipment, and additional support staff, we can utilize through Jordan's Principle. I give consent to have my child(ren) and their personal information to be included in the Kapawe'no First Nation Collegiate (KFNC) Jordan’s Principle group application. All information is confidential and will not be released without my consent and only shared with the Government of Canada and/or First Nation Health Council. I also consent to receive/release information to the appropriate outside agency that is relevant to treatment.(required)

I hereby authorize KFN Collegiate to allow the above-named child to secondary level services through Jordan’s Principle. I acknowledge that should I wish to terminate my child’s access to second level services through Jordan’s Principle; I must do so in writing to the school administration.

I do not wish my child to have secondary level services through Jordan’s Principle.

I give permission for KFN Collegiate to provide my child with secondary-level services through Jordan’s Principle. I understand that if I want to stop these services, I must notify the school in writing. Please type your name below as signature.

I certify that my child is enrolled as a student at Kapawe'no First Nation Collegiate for the 2025-2026 academic year. I understand that nominal roll tuition funding is allocated for my child’s education, and I authorize this funding to be directed to KFN Collegiate to support my child’s schooling. Please type your name below as signature.

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