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
