MCS New Family Referral Program

Welcome to the New Family Referral Program at Milpitas Christian School.

Please fill this survey with as much information as you can, so we can easily identify the new family and the referring family.

Thank you for participating in this program!

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* 1. New Family - Father's Information:

New Family - Father's Name:

New Family - Father's Contact Phone #:

New Family - Father's Email:

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* 2. New Family - Mother's Information:

New Family - Mother's Name:

New Family - Mother's Contact Phone #:

New Family - Mother's Email:

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* 3. New Family - Child #1 Information:

Child #1 - Name:

Child #1 - Current Grade:

Child #1 - Grade Next School Year:

Child #1 - Age (if preschool age):

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* 4. New Family - Child #2 Information:

Child #2 - Name:

Child #2 - Current Grade:

Child #2 - Grade Next School Year:

Child #2 - Age (if preschool age):

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* 5. New Family - Child #3 Information:

Child #3 - Name:

Child #3 - Current Grade:

Child #3 - Grade Next School Year:

Child #3 - Age (if preschool age):

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* 6. Referring Family Information (The person that referred a New Family to Milpitas Christian School)

Referring Family - Name:

Referring Family - Email:

Referring Family - Contact Phone #:

Referring Family - Current MCS Student Name(s):

Referring Family - MCS Acct # (leave blank if not known):

MCS New Family Referral Program Requirements:

To fulfill the program requirements, the new family must:

1. Complete the enrollment process, and
2. Remain enrolled at MCS for a minimum of three months

Q. How will I receive the $500 Referral Credit?
A. Your credit will be issued when the above requirements have been fulfilled.

Thank you for your support of Milpitas Christian School!

If you have questions, please contact:
Michelle McEwen
Admin. Asst. to the Head of School
408-945-6530, ext. 109
mmcewen@mcsi.org

Milpitas Christian School
3435 Birchwood Lane
San Jose, CA 95132
408-945-6530
www.milpitaschristian.org
Preschool Facility License #430709420