I, the undersigned, am in good standing in my school and/or community, and in accordance with the constitution and bylaws of this club, hereby apply for membership in the Cape Henlopen Leo Club, sponsored by the District 22-D Lions Club. I believe the above information to be true and complete, and I desire membership in this club. I believe I can make a contribution to the club and be worthy of the friendship of its members. My parent(s)/guardian(s) and I understand that the entrance fee will be
zero dollars and the annual dues will be zero dollars. I also understand that, pending parental/guardian consent, my personal data will be entered into Lions Clubs International member databases and used to facilitate communications with and between LCI members. Parental/guardian consent section can be found, below.
DATE : 16th Oct 19
I hereby give permission for my child to become a member of the above-named Leo club. I understand that a Leo club is sponsored by a local Lions club and provides young people with an opportunity to develop their leadership skills while serving the community. I have been provided with materials relevant to this Leo club’s operations including the name and contact information of the Leo club advisor, meeting locations and times, types of service projects conducted, etc.
Please check the appropriate boxes below to indicate the items to which you consent:
I grant permission for my child to be transported to Leo club meetings, projects or events by the Leo club advisor or a member of the sponsoring Lions club.
I grant permission for my child to be filmed and/or photographed at Leo/Lions club events and meetings, and for these videos and/or images to be posted on the Lions Clubs International public website at www.lionsclubs.org, the Lions Clubs International members-only Intranet site (MyLCI), other LCI member databases, the Leo club’s website, and/or the Lions club’s/district’s website.
I grant permission for my child’s personal data to be entered into Lions Clubs International member databases and to be used to facilitate communications with and between LCI members.
By signing below, you indicate that you have read the information outlined in this Leo -50 form, that you agree to your child’s participation in the Leo club, and that you consent to the items you have checked a bove. This signed form should be submitted to the Leo club advisor and a copy retained for your own records.
It is the responsibility of the sponsoring Lions club to maintain records on parental/guardian consent for any young person under the legal age of majority who joins your Leo club. This form should be reviewed and completed by the parent or guardian for members under the legal age of majority. Please note that when using MyLCI, you will be asked to confirm that your Lions club has received parental/guardian consent to enter data of any Leos under the legal age of majority.