Santiam Crossing

	1.800.390.3983

	A Program of Catherine Freer

If you would like to receive more information about our program, please fill out the following form and click submit.

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Tell us about yourself

*First Name:

*Last Name:

Mailing Address:

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Tell us about your child

*First Name:

*Last Name:

*Gender: Female
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*Birthdate:
(Children must be 13-18)

Relationship to child: Parent
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What are the events or behaviors that led you to contact us?

Is your child currently enrolled in a wilderness therapy program?

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For more information, please contact our Admissions Department at 800-390-3983 or email julia@santiamcrossing.com. We look forward to hearing from you.