Are you interested in joining the Kouts Lion's Club? Just fill out the following application and your information will be forwarded to a member of our executive panel.

Title:
Mr. Mrs. Miss Ms.

Your Name:

Suffix: Nickname:

Occupation:

Spouse's Name:

Spouse's Occupation:

Your Home Street Address:

City State Zip Code

Home Country:

Your Home Phone Number:

Your Home Fax Number:

Your e-mail address:

Date of Birth (MM/DD/YY format):

Current Employer:

Current Occupation:

Your Work Address:

City State Zip Code

Business Country:

Business Phone Number:

Business Fax Number:

Business E-mail:

Business Cell Phone Number:

How Long at your present employer? Years Months

Send Mail to:
Home Work

I am a former Lion. Yes No

Reason for leaving:


I am a member of another service organization. Yes No

If Yes, which one?


Questions or comments:


This form currently requires you to have Microsoft Outlook or Microsoft Outlook Express set up on your computer, enabling you to send & receive e-mails with either application. We are working on a solution that will allow those who don't use either application to send in their inquiries.
Your application, questions and comments will be forwarded to member(s) of our Executive Board and you may hear from someone within 1-3 days. Thank-you for your interest in becoming a Lions Club member
If you are interested in attending our meetings, even if you haven't been contacted regarding the application you submitted, you're welcome to come. Our meetings are held on the 1st and 3rd Thursday of each month at 7:00 PM. It is recommended that you arrive 6:45 PM to 6:55 PM, so there's no delay in the start of the meeting. The meetings on the first Thursday is our Dinner Meeting, and the third Thursday of the month is when we hold our Business Meeting. The meetings are held at St Paul Lutheran Parish Hall, located at 507 Rose Avenue, Kouts, IN 46347.