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CCCS Student Referral Form
Thank you for referring a new student to Contra Costa Christian Schools for the 2023-2024 school year.
Once we verify your submission from Open House, the referring family will earn 2 service hours (per family)!
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* Indicates required question
Email
*
Your email
Referring Family
Referring Parent First Name
*
Your answer
Referring Parent Last Name
*
Your answer
New Family
How do you know this family?
*
Church
Work
Neighbor
Family
Other:
Required
New Parent First Name
*
Your answer
New Parent Last Name
*
Your answer
New Student(s) Name
*
Your answer
New Student Grade(s)
*
Your answer
A copy of your responses will be emailed to the address you provided.
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