Parent Referral Form

If you refer a family to us and they enroll a child in one of our Centers you will receive a tuition credit of one week. After the “referred child” has been enrolled and attended the Center for 60 days, your account will then receive the credit. This incentive program applies to new enrollments only. We hope you will take full advantage of this program. This program will let us know that you are truly confident in our care and we thank you.

Existing Client Name: _________________________________________

Daytime Phone #: ____________________________________________


Referral #1 ___________________________________________

Address: ______________________________________________

Phone #: ______________________________________________

Child’s Name/D.O.B.: ______________________ ___________

 


Referral #2 ___________________________________________

Address: ______________________________________________

Phone #: ______________________________________________

Child’s Name/D.O.B.: ______________________ ___________