Registration Form

Simply fill out this form we'll be in touch to arrange your free trial dance session or book you into our classes.

Email sarah@epiphanydance.com.au or call 0439 000 132 if you have any questions.

If you would like to attend one of our Free Taster classes, please make sure you select the class you’d like to attend.

Parent/Guardian Name

First Name

Last Name

Childs Name

First Name

Last Name

Childs DOB

Parent Email

Phone Number

Which classes is your child interested in attending?

We’ll just use your information to contact you to discuss Epiphany Dance & Co, we will never pass your details on to anyone else, ever.