Kicks for Kidz

Friends of CASA Kicks for Kidz

First Name (required)

Last Initial (first letter of last name) (required)

Select agency you are with (required)

Case Worker (required)

Age (years) (required)

Please type the characters below (required)
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By clicking Send, I understand that Friends of CASA will not share my information with any one for any other purpose than for Kicks for Kidz. I am also currently placed in a home in Ottawa County or my case is in Ottawa County.