If you would like to request a CASA volunteer for a child in need, please fill out the form below and we will contact you shortly. If you have any questions you can call Brenda Nepute, CASA Intake Coordinator, at (541) 731-3077. Date MM slash DD slash YYYY Name of Person Requesting* First Last Email* Phone*Your Relationship to Child(ren)* Child's Name, Age & Court # (if known)* Child #2's Name, Age & Court # (if known) Child #3's Name, Age & Court # (if known) Reason Asking for a CASA Volunteer*Provide the following information if known:Location of the Children-Name & Address and Phone Number if known DHS Caseworker Child's Attorney Mother's Name Mother's Attorney Father's Name Father's Attorney Are you concerned about the safety of these children? Are these children homeschooled? Any other information you think is important: Δ Please Share This Tweet Share Plus one