Please enable JavaScript in your browser to complete this form. Thank you for your interest in Oregon KEEP® groups! Please take a moment to complete the form below, or you can contact us directly. Oregon Community ProgramsErika FreemanKEEP Recruitererikaf@oregoncp.org (541) 520-0524 Name: *FirstLastCounty of Residence: *Phone *Contact Email: *Best method of contact:EmailPhoneTextBest time of day for us to contact you:Ages of foster or kinship children in your home:List ages of each child.Preferred group time? (Please check all that apply)Weekday MorningWeekday AfternoonWeekday Early EveningHow did you hear about KEEP? *(Optional) Anything else you'd like us to know?PhoneSubmit
