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Friends & Family Referral Form

Required

Share the gift of a UCA education! Simply complete the referral form below with the information of a family interested in enrolling a UCA student(s) for the 2026-2027 school year. (One referral form required per new family)
 
*All referral rewards are applied after the new student completes enrollment for the 2026–2027 school year.

YOUR INFORMATION

Please provide your name and contact information as the person referring the new family to UCA. This is how we will track and attribute the $500 tuition discount (or $250 Visa Gift Card) for your referral.required
Namerequired
First Name
Last Name

NEW FAMILY INFORMATION

Please provide the name and contact information (if available) of the new family your are referring to UCA. This is how we will track and attribute the $200 Registration Discount to each eligible new UCA student.

Referred Family Namerequired
First Name
Last Name
Referred Student #1requiredEntering Fall 2026
First Name
Last Name
Entering Fall 2026
Referred Student #2Entering Fall 2026
First Name
Last Name
Entering Fall 2026
Referred Student #3Entering Fall 2026
First Name
Last Name
Entering Fall 2026
Referred Student #4Entering Fall 2026
First Name
Last Name
Entering Fall 2026