ZONE CHAIR    ZONE    DATE OF VISIT

LIONS CLUB OF

ADDRESS OF CLUB MEETING

ANSWER ALL QUESTIONS FOR EACH VISITATION. YES or NO

Would you consider this to be an active club? YES   NO

 Did you discuss club concerns with its board of directors? YES    NO

Does club secretary keep accurate records? YES    NO

Does club secretary report club activities annually? YES   NO

Do club committees appear to be functioning? YES    NO

Does club conduct a new member/induction ceremony? YES    NO

Did you suggest methods to maintain or increase membership? YES    NO

Does this club participate in district activities? YES    NO

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