Southwestern District
APPLICATION FOR STUDENT ENROLLMENT /TRANSFER
Child’s Name: ______________________ (First) _____________________________ (M Initial) ______________________ (Last)
Date of Birth: ______________________________ (D) _______________________________ (M) ______________________ (Y)
Parent / Guardian Name: ___________________________________________________________________________________
Relationship: _____________________________________________________________________________________________
Contact Number: __________________________ (H) ____________________________ (W) _________________________ (M)
Address: _________________________ (House #) _______Street) __________________________________________ (District)
Address Particulars/ Colour: _________________________________________________________________________________
Previous School Attended: ___________________________________________________ Last Grade Attended: ____________
Reason for Transfer: _______________________________________________________________________________________
SCHOOL WITHIN THE DISTRICT
PRIMARY SCHOOLS HIGH SCHOOLS SPECIAL SCHOOLS
Adelaide Primary A. F. Adderley Junior High Tiny Tot Preschool
Carmichael Primary Anatol Rodgers High School Programme S.U.R.E
C.W. Sawyer Primary School Government High School
School Request: 1st Choice _____________________________________________
2nd Choice ________________________________________________
DEPARTMENT OF EDUCATION
SOUTHWESTERN DISTRICT
