Inquiry Form

The following inquiry form is not a formal application for enrollment in Samaritan Center.  Its purpose is to help us learn more about your specific situation, so we can open a discussion with you to see if our program is appropriate for your child.  
 
After you fill out and submit the form, a representative from Samaritan Center will contact you within two days.  Thank you!
Use MM/DD/YYYY format.
Describe how the person inquiring knows the child: i.e., parent, grandparent, etc.

Spotlights

Chip in. Help out. WIN!

The Samaritan Center is proud to be a participating charity in the upcoming Honda Classic, set for February 19-25, 2018.  When you visit the Samaritan Center page on The Honda Classic web site and pledge $20 or more, you'll have a chance to guess the number of birdies that will be made during this year's event.  The Samaritan Center will receive your full donation plus a 10% matching bonus.  And you'll get the chance to win a 2018 Honda vehicle!
 
Click here for more information, or go directly to the Samaritan Center page to make your guess.  Good luck!
Click here to visit our page!

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