CASA Member Application/Renewal

CASA is inclusive. You are not required to be a Member to participate in anything. However, we appreciate your support as a Member and Active Members save money, so your membership is a win-win!

CASA Member-Volunteer-Donation App/Renewal (Annual)

Membership Application & Renewal
Person 1
Person 1
First
Last
Person 2
Person 2
First
Last
Disability (1)
Disability (2)
Please indicate how many months you plan to live at this address so we can send your mail to the appropriate location
Annual Income Range

Please note: Completing this form will help us serve you better, plush help us continue to qualify for funding so we can maintain our meal and vital services at as low cost to you as possible. This information will be kept confidential. Thank you.