Membership Application - San Gabriel Kiwanis Club
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Membership Application

Join the club

Fill out the form and start making an impact on children’s lives!

 

Full name:*
Nickname:
Gender:*
Date of birth (MM/DD/YYYY):*
Spouse/partner name:
Home address:*
Preferred phone number:*
-
Company name:
Title in company
By providing my email, I recognize that I am opting in to receiving regular communication from Kiwanis International.
E-mail:
Send Kiwanis mail to:*
Member sponsor name:
Member ID:
Committee preference:
Are you a former Kiwanian?*
Are you a former Key Club or CKI member?*
If yes, club name(s):
I accept this application for membership and agree to conform to the bylaws of this club and comply with the obligations of membership as explained to me by my sponsor.
Applicant digital signature (type your full name):*
Today's date (MM/DD/YYYY):*