Parent/Guardian Name *

First Name

Last Name

Student Name *

First Name

Last Name

Enquiring about *

Pre School Program

Recreational Program

Advanced Program

Musical Theatre Program

Studio Location *

Leongatha Studio

Inverloch Studio

Mirboo North (Ready Set Dance Only)

I am interested in *

Booking a trial class

Enrolling for 2025

Finding out more information

T+C's and Injury Waiver *

The Parent or Guardian of the above student(s), agree to release Lisa Pellin Dancers, including instructors and assistants from liability for any and all injuries which may occur while training, practising, performing, or during any studio event or activity. You also agree that you are responsible for health and accident insurance and any medical costs incurred due to injury. You give permission for emergency medical transportation and treatment of your student(s) at your expense should the need arise.

I agree to the above terms and conditions