Request edit access
Referral Form
Do you know any families who might want to send their PK-5th grade children to Romero Academy at Resurrection? You can receive up to $50 in Visa cash cards for each student you refer!

Here's how it works:
•If the family you refer completes and turns in the enrollment paperwork, you receive a $25 gift card for every child that enrolls.
•If a child you referred continues to be enrolled at Romero Academy through October 1, 2020, you will receive an additional $25 gift card.

Note: Only current Resurrection parents, former Resurrection parents, and Resurrection alumni are eligible for the VISA gift cards bonus. While you're here--check out our new website!

¿En español?:

Sign in to Google to save your progress. Learn more
Email *
Your Name *
What is your relationship to Resurrection? *
Your Phone Number *
Family you are referring--Parent's full name *
Family you are referring--Parent's primary phone number *
Family you are referring--what is their ZIP Code or neighborhood? *
Family you are referring--how many PK-5 children are in the family? (your best guess is ok) *
Family you are referring--what grades are the children currently in?
Please remember that we are enrolling Pre-K through 5th grade for the 2020-21 school year. Your best guess is OK--we will follow-up with the family!
What school do they currently attend? (not required, but helpful)
Clear form
Never submit passwords through Google Forms.
This form was created inside of Seton Education Partners. Report Abuse