Interactive Form
Club History Form
Home
District Historical Committee
District 17-I Historian Marion Schroll
Form should be submitted annually for each current year
Forms should be submitted or have been submitted for each year since 2001
E-mail Address
Your name
Report for Club Year:
Charter Date
Club Name:
Chartered by
Club President
Club Secretary
Club Treasurer
Major Service Projects
Major Fund Raisers
Special Offices held by your club ( DG, CC, State Positions, etc)
Names and Positions
Special Celebrations and Dedications
Events and Dates
Recognition Received by your Club or Members at the Club, District and State level?
Recognition,
Level and Dates
This information is VITAL to preserve the history of our 17-I Clubs.
Please feel free to type all the required information then press the submit button below. That will result in  your club
information being sent to District History Chair,Marion Schroll. Your participation will assure your inclusion in the
Kansas Lions History Book. Each of our Clubs have much to be proud of and we want your club represented.

If sent by mail, the forms must be sent to District History Chair, Marion Schroll (address below)
as is this interactive form when you hit submit below.




District History Chair
Lion Marion Schroll
318 N Noble Street
Riley, KS 66531
785-485-5575
mschroll@twinvalley.net
Note: Use tab key to move through form. Do not hit enter until form is complete as it will submit the form.