Mount Academy Application Form

Family Information

Parent/Guardian
Parent/Guardian (1)
Parent/Guardian (1)*

First NameLast Name
Relationship to Child*
Employment
E-mail*
example@example.com
Phone Number*
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian (2)
Parent/Guardian (2)

First NameLast Name
Relationship to Child
Employment
E-mail
example@example.com
Phone
Home Address Same as Parent/Guardian (1)?

Yes
Home Address (not required if the same as Parent/Guardian (1))

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Custody Information: If a parent has primary or sole custody, please indicate below. Are there are any legal restrictions regarding contact with the other parent/guardian?

Academic Information
Entering Grade in 2025/26*
Name of Current School*
Current School Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Is your child entering grades 10-12 and currently enrolled in the Early French Immersion Program? Do they wish to continue their immersion studies? (Note: Core French students, francophones, and those coming from French schools are not eligible for the Early French Immersion Program. Course availability depends on student interest and enrollment numbers.)

Yes, they are in Early French Immersion and wish to continue their Early French Immersion studies.
Does your child have an:*

IEPadaptationsaccommodationsacademic resourceNone of the above
IEPs, Adaptations, Psycho-Evaluation or any other documentation

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School Transcripts *

Must be received for admissions. Report cards are sufficient for the initial admission process, however, official transcripts must be provided to transfer credits. Please email transcripts to admin@themountacademy.ca
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Student Personal Essay (250 word essay) *

Please submit a 250 word essay explaining why you wish to attend Mount Academy.
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Athletic Information

To ensure a seamless reference process for your application, please provide the contact details of a teacher and a coach below. By entering their contact information, you agree to us sending them a form with questions relating to your child's behaviour and abilities. The information gathered in the reference forms will not be shared outside the admissions committee and they will be used to help determine your child's eligibility to attend the Mount Academy
Program Enrollment

Female HockeyMale HockeySkills Hockey
Jersey Size*

SMALLMEDIUMLARGEX-LARGEXX-LARGE
Is the student consulting with an agency or family advisor? If yes, please indicate who and include their contact information.

Hockey
Current Team
Current Level
AA, AAA...
Position
Previous Coach Reference

First NameLast Name
Team Name
Email
example@example.com
Height
Weight
Top Three Preferred Jersey Numbers
We cannot guarantee you will receive your preferred jersey number.
Upload an action shot or sport photograph to be shared on our social media if your child commits to the school.

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Upload Player Video

if unable to submit a video, please send one directly to our sport director Paddy Flynn at pflynn@themountacademy.ca
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Emergency Contacts/Authorized Pickup

Parents cannot be listed as emergency contacts. List the name of at least one person who can be contacted in the event of an emergency or illness if you cannot be reached. Any person listed should be able to assist in contacting you.
Emergency Contact #1
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Phone Number*
Relationship to Child*
Emergency Contact #2
Full Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Relationship to Child

Payment and Statement Understanding
Application payment of $100 is required prior to application review.

Applications will be reviewed by the admissions committee. Mount Academy will contact you once the applications have been processed and approved. Please allow for the processing time.

Application Fee

$100.00CAD

Total

$0.00CAD

Credit Card

Apple Pay

Please verify that all parts of the form have been completed. The form will not be sent until all *required information has been entered including documents. Once the form is you will reach the Thank you Page stating that you will receive an email copy of your application. If there are errors in the form, the application will not be received and the form will need to be resubmitted.
Sign Document*
Date Signed*

MonthDayYear
Should be Empty:

	Poor	Below Average	Average	Above Average	Excellent
Work Ethic
Honesty/Integrity
Maturity (relative to age)
Self-Motivation
Consideration for others
Relationships with peers
Relationships with adults
Leadership abilities
Reactions to suggestions/advice
Taking responsibility for own actions
Overall Behaviour

Mount Academy New Applicant Registration Form