Parent Referral Program

Receive ONE Week Free

Refer a friend and take advantage of our referral program. Refer a friend, relative or family member to Children of America and receive ONE-WEEK FREE!
THERE ARE NO LIMITS ON REFERRALS!

Parent Referral Form

All fields are required unless otherwise noted.

Choose Your Center

Parent First Name

Parent Last Name

Referred Parent First Name

Referred Parent Last Name

Referred Child First Name

Referred Child Last Name

Referred Child Start Date

Security Code

Note: *Limited time offer. Our referral program is based on a ONE-WEEK FREE referral credit (one per family). It has no monetary value. The credit will be issued to your oldest child attending Children of America.

Parent Referral Procedure

Referring Parent - Please complete the form above and submit for processing.
New Enrollee/Referral - Begin the process by scheduling a visit today! Don't forget to mention who sent you!