Kentucky CASA Network : Members Only : Create An Account

Complete the fields below to create your user account. We'll contact you when your account is connected to your portal. You can also subscribe to our newsletter!

Note: We recommend using your email address as your username.

Username (Required)

Password (Required)

Confirm Password (Required)

Name

First Name

Last Name

CASA Program (Required)

Role (job title, Board Member, or CASA Volunteer) (Required)

Email (Required)

Phone

Address

Country

Address Line 1

Address Line 2

City

State

Postal Code