THE RIVER'S EDGE RANCH
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ONE-YEAR PROGRAM
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Parent's Name and Address
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How did you hear about The Ranch?
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What is your age?
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What is your household income?
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$10,001 - $25,000
$25,001 - $40,000
$40,001 - $70,000
$70,001 - $100,000
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What type of insurance do you have?
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Why do you want to be a Rancher?
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Are you currently using drugs or alcohol? (describe)
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