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Program Registration

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Program/School Name
Physical Address
City, State & Zip

GPS Address (if different)
City, State & Zip

Tour Contact Name
Contact Title
Office Phone
Cell Phone
Length of time program/school requires for a thorough tour
Other programs/schools in general geographic vicinity
(do not have to be in the same state)
My program/school is in the following category (check all that apply)
Therapeutic Wilderness Boarding/Prep         I-20 Certified*
Therapeutic Boarding Eating Issues           RTC
Aftercare/Transitional           Christian           Military
Special Needs Boarding Male Only Female Only
JCAHO Accredited
Other Please specify

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* You can enroll students from abroad and issue I-20 visas so the international student may enter the United States.

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