Student Contact
Information

Year 12 students: please update your student contact information by filling out the form below. Thank you!
Fields marked * are compulsory.

    1. Personal Details

    *First Name
    		 *Last Name
    *Dr. Du Student Number (4 or 5 digits)
    *Current High School
    *Accelerating at School?

    2. Student Contact Information

    Home Phone
    *Mobile
    *Email

    3. Parent/Guardian Contact Information

    *Parent/Guardian (Only one required)

    *Mobile
    *Email