Become a Member

Pay your dues online or mail in your check

If you would like to become a member and pay your dues online, fill out the form below. Otherwise, you may return this completed form to mkalra@kyyouth.org or print and mail it with your check to:

Mahak Kalra
Kentucky Oral Health Coalition
11001 Bluegrass Pkwy., Ste. 100
Jeffersontown, KY 40299