Contact Seneca Ranch - Information Request

Seneca Second Chance Ranch Provides Free Guidance on At Risk Teen Issues and Options for Concerned Parents, Professional Counselors, Educators, Educational Consultants and other Care givers. We have over 25 years experience in dealing with these needs that are typically not met in the traditional Home based School setting but must be addressed in the Specialty Boarding Schools.Our Mission is to Find the Proper Option for the best needs of the Children At Risk rather it be Local based Counseling, in local Home Community, or a  Military School, Boot Camp, Wilderness Therapy, and or other Specialty School or Youth Program That bests suits the special needs of Teens At Risk.
Please fill out the form below and one of our Guidance Counselors will contact you and discuss with you your particular needs Again At Risk Teens has Schools And other options that are needed for teens or adolescents there are At Risk in their school or community.  These options are Comparable to other military schools, boot camps, wilderness therapy programs, and or other specialty schools that specialize in providing these options and types of services.

Instructions: Please fill out all of the required fields (marked by *, if you don't have all 3 phone #'s then submit it anyway) then the request for information will be sent immediately. A representative will contact you by telephone to assist you with any questions you may have.

If you need to contact us immediately by phone, please fill out this information. Once complete, the contact phone number will be available.

Teen Help Recovery Form *Indicates Required Fields Parent Information Parent First Name * Parent Last Name * Home Phone * Work Phone * Cell Phone * Preferred Contact * Fax Email Address * Confirm Email Address * Alternate Email Address Mailing Address City State * Select AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Zip Code Were you referred to us by anyone? * Select Yes No Referred By Child Information Child First Name Child Last Name Child's Age * Child's Gender * Please describe the event or events that your child has been involved with: * * Note any questions, comments, or other specifics you wish to convey How did you hear about us?  * Where you referred from another Teen Recovery parent? If so, please type their full name and student's name if possible.  *