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Form to provide details and interest to join our club

Name(Required)

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Email(Required)

Enter Email Confirm Email

Phone(Required)

Enter phone number in format (999) 999-9999 - Only US-registered phone numbers are accepted

Address(Required)

Street Address City State ZIP Code

I am or represent a(n):(Required)

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I'd like to join because...(Required)

Please let us know the main reason(s) you'd like to join our club (max. 50-60 words on average or max. 300 characters)

Are you interested in joining your next monthly meeting?(Required)

Our monthly meetings (2nd Wed. of the month - see calendar for exact dates) are invitation-only and require confirmation at least 10 days before the date of the meeting. Participation in one of our meetings will enable you to see first hand the friendly and relaxed but serious atmosphere and collaboration, as well as all our projects and events.

Yes

What's Next?
Once the form is submitted, you will be contacted shortly by a member of our club with more details and information.

#Kids Need Kiwanis

Join Us Today!

Join Our Club