Rossmoyne Senior High School Change or Address or Authorisation to Amend, Add or Delete Emergency Information Contacts Form

Authorisation to Amend, Add or Delete Information Form

You may also use this form to notify the school of a change of address.

Student's Given Name *

Tutorial Group

Home Address

number, street, suburb

Country

Zip code

Home Landline Number

Mother's (or Guardian's) Name

Mother's (or Guardian's) Work Tel. No.

Mother's (or Guardian's) Email

Mother's (or Guardian's) Mobile

Father's Name

Father's Work Tel. No.

Father's Email

Father's Mobile

Emergency Contact No

Name, phone number and relationship to student

Other Details

Image of document confirming any change of address, e.g. Synergy bill