Contact: Shawnale Wilson, Admissions Director
Phone: (877) 348-0848 Fax: (208) 267-5715
Mailing: Boulder Creek Academy 378 Emerson Lane Bonners Ferry, Idaho 83805
Contact Us
To request information, please fill out this form:
Tell Us About Yourself * Indicates required field
*First Name:
*Last Name:
Mailing Address:
Address Line 2:
City:
*State/Province:
Other:
ZIP code
Country:
USA Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antigua Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Botswana Brazil Bulgaria Burkina Faso Burma Burnei Burundi Cambodia Cameroon Canada Canary Islands Cape Verde Cayman Islands Chad Chile China, Peop. Rep of Colombia Comoros Congo, Peop Rep of Cook Islands Costa Rica Croatia Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Estonia Ethiopia Faeroe Islands Falkland Islands Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Guadeloupe Guam Guatemala Guernsey Isle Guinea Guinea-Bissau Guyana Haiti Holland Honduras Hong Kong Hungary Iceland India Indonesia Ireland Ireland, Rep of Israel Italy Ivory Coast Jamaica Japan Kampuchea (Cambodia) Kazakhstan Kenya Kiribati Korea, Rep of Kuwait Kyrgyzstan La Reunion Laos Latvia Lebanon Lesotho Liberia Liechtenstein Lithuania Luxembourg Macao Madagascar Malawi Malaysia Maldives Mali Malta Mauritania Mauritius Mayotte Mexico Micronesia Monaco Mongolia Montenegro Montserrat Morocco Mozambique Muldovia Namibia Nauru Nepal Netherlands Netherlands Ant. New Caledonia New Hebrides New Zealand Nicaragua Niger Nigeria Norway Oman Pakistan Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Samoa San Marino Sao Tome & Principe Saudi Arabia Scotland, UK Senegal Serbia Seychelles Sierra Leone Singapore Slovak Republic Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka St. Helena St. Kitts - Nevis St. Lucia St. Pierre & Miquelo St. Vincent Suriname Swaziland Sweden Switzerland Taiwan Tajikstan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Uganda Ukraine United Arab Emirates United Kingdom Uruguay USA Uzbekistan Vanuatu Vatican City State Venezuela Vietnam Virgin Islands (Br.) Wallis & Fortuna Is. Yemen, Peop. Rep. of Zaire Zambia Zimbabwe
*E-mail:
* Phone:
Best time to call:
Tell Us About Your Child
First Name:
Last Name:
Male Female
Date of Birth:
Your Relationship to the Child:
Specify any medication child is currently taking:
What are the events or behaviors that led you to contact us?
Questions and comments:
*How did you hear about us?
Educational Consultant CEDU Parent or Family Hospital Insurance Company Other program Private School Public School Therapist Google Search Engine (specify below) Other Web Site (specify below) Other (specify below)
