Admissions

If you want a printable form, you may download the copy here:
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*If you need help filling out the form please contact the school office, phone number below* Kapawe’no First Nation Collegiate – 780-751-0008

Parents with a student entering K4 or K5 must provide profile of age. You may submit a copy of one of the following: Birth Certificate or Alberta Health Care Card

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STUDENT INFORMATION

Legal Name As It Appears On Birth Certificate

Legal First Name

Last Name

Middle Name

Student also known as

Birth Date MM/DD/YY

How do you identify? Gender: Male, Female, Other

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

Living on Kapawe'no First Nation: Please Type: Yes/No/Other

House #

Location Description:

Legal Land Location

If other please enter residential 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.

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

Legal Custodian #1

Name of Legal Custodian

Relationship

Phone:

Work Phone

E-mail of Guardian

Cellphone

Name to contact:

Relationship

Phone/Work Phone/Cellphone

In the event of an emergency, does the above contact have permission to pick the student up from school? YES / NO

Last School Attended:

Last Grade Attended

Last School Address

Last School Phone#

Is the student currently under supervision by another school? Please Type: YES / NO

Has the student been expelled from school? Please Type: YES / NO

Was the student readmitted? Please Type: YES / NO

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 ay special medical conditions, problems or allergies. ( i.e. eye glasses, hearing aids, diabeties seizers):

Does your child require medication? Please list:

I hereby consent for (Student Name)

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

I would like to Register for Kapawe’no Nêhiyawak School (In Person): Please type YES or NO

I would like to Register for First Nation Virtual Learning Centre: Please type YES or NO

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: Please type YES or NO

PLEASE ADVISE THE SCHOOL IMMEDIATELY OF ANY CHANGE IN THE INFORMATION DURING THE SCHOOL YEAR
*If you need help filling out the form please contact the school office, phone number below* Kapawe’no First Nation Collegiate – 780-751-0008

Kapawe’no First Nation Collegiate
KFNC Address: PO Box 10, Grouard, Alberta T0G 1C0 Phone: (780) 751-0008

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Admissions

STUDENT INFORMATION

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