9391 Washington Church Road

Miamisburg, Ohio 45342

Phone: (937) 291-7212
Fax: (937) 291-7213

DCSS Referral Rewards Program

We appreciate the commitment and dedication your family has shown towards the Dayton Christian
School System. We would like to reward your faithfulness. Do you know families who have
expressed a desire to provide a Christian education for their children? The Dayton Christian School
System will credit your account $100 for each new family who subsequently enrolls because of your
direct recommendation. The new family will also receive a $100 credit. This credit will be applied
toward tuition.

Referral Rewards Terms and Conditions:

• The referring family must have a student enrolled at DCSS and return Part A to the Admissions Office.
• The new family must return Part B to the Admissions Office at the time of their online application.
• The referral credit will be applied within the academic year that the new family enrolls in DCSS.
• There is no limit to the number of families that may be referred.
• The referral family will be notified in writing of credit received when the referred family enrolls.

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Dayton Christian School System Referral Rewards Program (Part A)
(To be filled out by Referral Family) Instructions Part A

1. Inform a family about the services

Referral Family _________________________________ ________________ you receive from the Dayton
(Current DCSS family) Name Date Christian School System.
________________________________________ ___________________
Address Phone 2. Ask the family to fill out Part B and
return it to the Admissions Office
________________________________________ ___________________ once they apply online.
City State/Zip
3. Return Part A to the DCSS
Referred Family _________________________________ ________________ Admissions Office.
(Applying family) Parent/Guardian Name Phone
4. Notification of the $100 credit will
________________________________________ ___________________ be made in writing after the referred
Address Email student application is accepted.
________________________________________ ___________________
City State/Zip

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Dayton Christian School System Referral Rewards Program (Part B)
(To be filled out by Referred Family)
Instructions Part B
Referred Family _________________________________ ________________
(Applying family) Name Date 1. Complete an online registration at
www.daytonchristian.com.
________________________________________ ___________________
Address Phone 2. Return all additional requested
application information, together with
________________________________________ ___________________ Part B, to the Admissions Office.
City State/Zip
3. Notification of the $100 credit will
Referral Family _________________________________ ________________
be made in writing after the referred
(Current DCSS family) Parent/Guardian Name Phone
student is accepted and enrolled.
________________________________________ ___________________
Address Email
________________________________________ ___________________
City State/Zip
REV 2/11