Parent/Guardian A's First Name:

Parent/Guardian A's Surname:

Parent/Guardian A's Email Address:

Parent/Guardian B's First Name:

Parent/Guardian B's Surname:

Parent/Guardian B's Email Address:

Student's First Name

Student's Surname

Residential Address:

Enrolment Year:

Year Level:
Please select789101112

Current Sibling at DSC:
Please selectYesNo