Online Referral Form-Trillium Bilingual Montessori
We welcome new families!
Your Details (Parent Making the Referral)
(Parent Making the Referral)
Name *
Your First and Last Name
Phone Number *
Your Phone Number
Email *
Your Email Address
Child's Name *
Your Child's Name
Referral Information
This section is collecting information on your referral family.
Parent's Name *
Referral's First Name, Last Name
Phone Number *
Referral's Phone Number
Email *
Referral's Email
Child's Name *
Child's Date of Birth *
MM
/
DD
/
YYYY
Program Details
What program is your referral family looking for?
Pre-Casa or Casa *
Weekly Attendance
Clear selection
Hours
Clear selection
Preferred Start Date (If you want your child to start as soon as possible, enter today's date.)
MM
/
DD
/
YYYY
Terms and Conditions of Referral Program
Terms and Conditions: The program is offered to parents currently enrolled in a program at Trillium Bilingual Montessori. This offer has no cash value and cannot be exchanged for cash. Parents receiving subsidies with parental fee contributions of less than $100/month, will be compensated 1 month tuition fees and forfeit the balance. Parents who fill out the form and refer a new family to TBM school are eligible to receive a $100 tuition discount.The referred family is also eligible to receive a $100 tuition discount when they register for a program of minimum 3 days/week for at least one calendar month. Discount will be applied to tuition fees AFTER a calendar month has elapsed.Credits will be applied directly to both parents' (referred and referee) tuition account. There is no limit on the number of referrals a parent can make.TBM reserves the right to end this program without notice. *
Required
Date *
MM
/
DD
/
YYYY
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy
Google Forms