Registration


The form below is for all students wishing to enrol or trial at Brighton Dance Academy. Please note the form requires your payment method, however credit card details are optional.

*   denotes required fields

Referral Information
Family Information
Where do you live?
Contact #1
How Can We Contact You?
Portal Access (your email is your login)
(Emails are kept confidential)
Contact #2
How can we contact you?
(Emails are kept confidential)
Student #1
(format=dd/mm/yyyy)
Additional Info

Please select any classes you wish to enrol in or trial. The 'Classes by Age' document will help you find relevant classes by year level at school. This can be found on our website.

Enroll in Classes
Select Class
Required Policies and Agreements
I Agree to All of the Above
Questions or Concerns
Payment Information
Account Information
Credit Card
eCheck/Bank Draft
(Your name on your bank statement)
(6-digit number)