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Report for month of

Submitter's email address:

Submitted by (name): 


Members:
DATE # New Lions # Dropped Total

Club Meetings:
DATE # Lions # Guests Program Description

Training:
DATE # Lions # Hours Program Description

Club Bulletin or Newsletter:
DATE or # of Newsletters

Comments On Your Club's Monthly Activities:


Attach additional paper if necessary.)
(for Example: Give us information on what your club did this month for the community; what you would like to see in the newsletter. 


Visitations:
Club Visited # Lions Club Visited # Lions

Services Provided:

Sight & Hearing: Youth:
Vision Screening Hrs.   Hrs. Leo Club Hrs   Hrs.
# Used Eyeglasses Collected    # Peace Poster Contest Hrs.   Hrs.
Used Eyeglasses Sorting Hrs.   Hrs. Patriotism Contest Hrs.   Hrs.
Hearing Screening Hrs.   Hrs. Scholarships $   $
Used Hearing Aids Collected   # Scouting Hrs.   Hrs.
Foundation Donation $   $ Youth Exchange   Hrs.
# Eye glasses/Exam Purchased   # Other Youth Project Hrs.   Hrs.
Leader Dog Donation $   $ Other Description*  
Other Description*   * Other Hrs. for above   Hrs.
* Other Hrs. for above   Hrs. * or Other $ for above   $
* or Other $ for above   $
   
Health: Community:
Diabetes Education Hrs.   Hrs. Aid to Elderly Hrs.   Hrs.
Health Faire Hrs.   Hrs. Community Cleanup Hrs.   Hrs.
MSU Operation Hrs.   Hrs. Community Project Hrs.   Hrs.
Other Description*   Recycling Hrs.   Hrs.
* Other Hrs. for above   Hrs. Veterans Project Hrs.   Hrs.
* or Other $ for above   $ Other Description*  
* Other Hrs. for above   Hrs.
* or Other $ for above   $
Mail or file on line (www.lions39w.org) by the 5th of the month:
Original - Mail to DG Darrell Hatfield, 121 S 650 E, Burley, ID 83318
Copy 1 - Mail to Zone Chairman
Copy 2 - Keep for you club file (use in compiling A-1 Report)

Reports | Club | News