Search
Kiwanis Club of Brooklyn
Chartered in 1997
Featured Programs
Swain Park Renovation
Kiwanis Club of Brooklyn, Michigan Flag Program
Community Service Award
Featured Events
Bingo Night!
DJ Trivia Nights
Kiwanis Craft Show
Kid Volunteers
K-Kids
Builders Club
Key Club
Calendar
Volunteer
Why Become a Member?
Volunteer With Us
Membership Form
Member Links
Kiwanis Korner
Contact Us
Kids Need Kiwanis
Membership Form
New Member Application
Name
*
First
Last
Nickname
First
Email
*
Enter Email
Confirm Email
Cell Phone
*
Home Phone
Optional
Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Section Break
Gender
*
Male
Female
Birthdate
*
Month
Day
Year
Section Break
Spouse/Partner Name
First
Last
Spouse/Partner Birthdate
Month
Day
Year
Wedding Anniversary Date
Month
Day
Year
Section Break
Corporate Membership?
*
Yes
No
Company Name
Title
Business Email
Enter Email
Confirm Email
Business Phone
Business Address
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Send Kiwanis Email to
Home Email Address
Business Email Address
Send Kiwanis Mail to
Home Address
Business Address
Section Break
Are you a former Kiwanian?
*
Yes
No
Section Break
Sponsor's Name
Who is the person that brought you into the Club?
First
Last
Application Date
*
Month
Day
Year
Consent
*
I agree to conform to the bylaws of this club and comply with the obligations of membership as explained to me by my sponsor.
Δ
Text
Membership Form