Become a Member

Have you been looking to volunteer for good causes in your community? Do you like helping kids, having fun and feeling like you made a difference? Why not consider joining us and become a member of the Leesburg Kiwanis club?

Dues are $160/year, payable quarterly if you wish. Cost of dinner at our meetings is not included. (Meals are optional.)

Ready to join? Complete the form and submit it. Our board will review it and get back to you shortly.

Join the Leesburg Kiwanis Club

membership application

Name*
Prefix First Last
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Best number to reach you
Mobile Phone
Email*
Enter Email Confirm Email
Transferring Kiwanis Members only

Name of club you're transferring from
Former Kiwanis Family Member?*
- No (skip next question)
- Key Club
- Circle K
Former Kiwanis Family Members only

Year graduated, school, maiden name (if different now)
Birthday (mm/day) -- year optional*
Education*
- High School
- Associate's or Bachelor's Degree
- Advanced Degree
Indicate highest level
Current Profession*

Indicate career field, if retired, if stay-at-home parent, etc.
Date Submitted

Month Day, Year

Kids Need Kiwanis

Become a Member

Join the Leesburg Kiwanis Club

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