Wears Valley Ranch and St. Andrew’s School exist to help children who have a problem in the home that is not primarily the child’s fault.  To qualify for admission, the child must be in grades K-12 at the time of admission, must be willing to be considered, and must not pose a threat to others in our care.

Please complete this short form to let us know about a child or family who may be interested in admission.

Child #1 Name (required)

Age (required)

Gender (required)

Child #2 Name


MaleFemaleNo 2nd Child

Child #3 Name


MaleFemaleNo 3rd Child

Guardian Name(s)

Family's Location (City, State)

Brief description of the problem in the home (required)

Your relationship to this family (friend, relative, teacher, pastor, neighbor, etc.) (required)

Your Name (required)

Your Phone # [xxx-xxx-xxxx] (required)

Your Email (required)

Best Time To Contact You?

Best Method To Contact You?