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New Member Application

To help us support you, please provide the information below. We have clubs for every age and ability, but to become a member of Kiwanis, you must be the legal age of adulthood in the state or country in which the club is located. Kiwanis clubs shall not discriminate based upon race, color, creed, national origin, age or sex, including sexual orientation and gender identity, when considering membership or during any of their activities or operations.

Member Type*
Please choose the description that best fits you
Why do you want to join? (Select all that apply)
- To help kids
- Community Involvement
- Business Networking
- To make friends
- Leadership Skills
Sponsor Name

Name of current club member sponsoring you. (Leave blank if you don’t know it, or if you need a sponsor)
Contact Information
Name*
Prefix First Middle Last
Preferred Name
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
Background Information
Spouse / Partner name
First Last
Enter “N/A” or “NONE” if this doesn’t apply
Number of children at home and ages
Your Birthday
MM slash DD slash YYYY
Gender
Languages Spoken
Corporate boards or community groups you serve with or on
Philanthropic interests or charities you donate to:
Hobbies you enjoy:
Consent*
I agree to the following statement
I agree to to br contacted by a member of Kiwanis Club of Lake Oswego. I understand my membership in the club doesn’t begin until I have met club requirements and have been officially inducted into the club.
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