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Lions Club Activity Report
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Email
*
Your email
Lion Name
*
Your answer
Other Lions (Separate with Comma)
Your answer
Date
*
MM
/
DD
/
YYYY
Location
*
Your answer
Number of Lions
*
Your answer
Service Activity
*
Centennial Service Categories are Starred
Choose
1 - Art and Cultural Event
2 - Facility Improvement/Construction
3 - Civic Services
4 - Education/language/literacy/book collection/book distribution (adult)
5 - Drug Awareness (adult)
6 - Food Collection/Food Distribution/Hunger*
7 - Other community and cultural activity
8 - Social event
9 - Clothes Collection
10 - Life Skills/Social Emotional Learning*
11 - Competition/Contest (adult)
12 - Reading Action Program/RAP (adult)
13 - Sports/Recreation Event/Camp (adult)
14 - Centennial Legacy Project -- Level 1
15 - Centennial Legacy Project -- Level 2
16 - Centennial Legacy Project -- Level 3
17 - Blood Collection
18 - Shelter Services
19 - Physical Reconstruction
20 - Disaster Preparedness Training
21 - Emergency Health Services
22 - Other Disaster Preparedness & Relief
23 - Emergency Supplies Collection/Distribution
24 - Emergency Food Collection/Food Distribution/Hunger*
25 - Clean Up/Beautification*
26 - Recycling*
27 - Tree Planting*
28 - Environmental Awareness/Education*
29 - Water/Sanitation Services*
30 - Preservation/Conservation/Restoration Services*
31 - Other Environmental Services*
32 - Club Twinning
33 - Other International Relations
34 - Diabetes Awareness Education/Training
35 - Diabetes Screening
36 - Strides Event
37 - Hearing Screening
38 - Vision Screening and Eye Care (Adult)*
39 - Guide/Service Animals
40 - Health/Support Services
41 - Medical Mission
42 - Eye Banking/Tissue Donation*
43 - Other Health and Wellness
44 - Hearing Awareness/Education
45 - Lions Eye Program/Sight Awareness/Education
46 - Health/Special Needs Camp/Event
47 - Eyeglass Fitted/Given to Individuals*
48 - Eyeglass Collected
49 - Hearing Aids Collected
50 - Hearing Aids Fitted/Given to Individuals
51 - Special Olympic Event/Activity
52 - Vision Screening & Eye Care (Youth)*
53 - Blood Collection
54 - Fundraising Event/Campaign
55 - Aid to the Elderly
56 - Aid to the Vision Impaired*
57 - Aid to Disadvantaged Children*
58 - Aid to the Homeless
59 - Scholarships*
60 - Other Assistance to Individuals
61 - Aid to Veterans/Military/Military Family
62 - Aid to Disadvantaged Families
63 - Aid to the Disabled
64 - Aid to the Hearing Impaired
65 - Donations to LCIF
66 - Non-LCIF Donations
67 - Sports/Recreation Event/Camp (Youth)*
68 - Assistance to School*
69 - Toy Collection*
70 - Sponsorship of a LEO Club*
71 - Sponsorship of a Boy/Girl Scout Troops*
72 - Lions International Youth Exchange*
73 - Lions International Youth Camp*
74 - Youth Competition/Contest/Peace Poster/Essay*
75 - Youth Life Skills/Social Emotional Learning/Drug Awareness*
76 - Other opportunities for youth*
77 - Reading Action Program/RAP (Youth)*
78 - Education/Language/literacy/Book Collection/Book Distribution (Youth)*
79 - Meetings/Club Visitation
80 - Training
81 - Conventions and Other Events
82 - Other Administrative Duties
Total Hours Worked
*
Your answer
People Served
*
Your answer
Funds Donated
*
Your answer
Description
*
Your answer
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