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. Or you can call Brenda Nepute, CASA Intake Coordinator, at (541) 868-3095. Date Date Format: 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 knownDHS CaseworkerChild's AttorneyMother's NameMother's AttorneyFather's NameFather's AttorneyAre you concerned about the safety of these children?Are these children homeschooled?Any other information you think is important: Please Share This Tweet Share Plus one