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Breadcrumb

High School 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 high school student/s for the 2025-2026 school year. (One referral form required per new family)
 
*All referral rewards are applied after the new high school student completes enrollment for the 2025–2026 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 high school student.

Referred Family Namerequired
First Name
Last Name
Referred Student #1requiredEntering Fall 2025
First Name
Last Name
Entering Fall 2025
Grade of Student #1required
Referred Student #2Entering Fall 2025
First Name
Last Name
Entering Fall 2025
Grade of Student #2
Referred Student #3Entering Fall 2025
First Name
Last Name
Entering Fall 2025
Grade of Student #3
Referred Student #4Entering Fall 2025
First Name
Last Name
Entering Fall 2025
Grade of Student #4