Response form
Name at time of DCS school registration:
*
First Name
Last Name
Current name, if different:
First Name
Last Name
Year in which you completed Grade 7:
*
Contact details:
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Please confirm
*
I agree to my personal details being held by Dihlabeng Christian School in accordance with the school’s privacy policy and used only for the purpose of administering the Alumni Community.
Submit
Should be Empty: