| Region 2 Minnesota-Dakotas District Kiwanis International

|  | Official Monthly Report Instructions: Complete the following form and submit the totals as of the end of each month. After you click on the "Submit Report" button you will get the "Form Validation Error" page if there is an error. If this happens, click on the "Back" button on your browser to go back and correct any mistakes. Do not use the "Return to the form" link at the bottom of the Form Validation Error page. It will erase your data. Fields preceded by an asterisk (*) are required.
*For Month: |  |
Region 2 Minnesota-Dakotas District
*Kiwanis Club: |
Membership Record |
*Total end of previous month |
*New members this month |
*Deletions this month |
*Total end of month |
Attendance Record
*Day of Month | *Active Total Members on Roster | *Active Members Actually Present | Meetings With Programs
|  |  | Yes | No
|  |  | Yes | No
|  |  | Yes | No
|  |  | Yes | No
|  |  | Yes | No
Inter-Club Meetings (Away meetings only)
Day of Month | Number of Members Participating | Club Visited | Miles One Way
Services Rendered by the Club
| Number of Projects Completed | Number of Service Hours | Number of Kiwanians Involved | Dollars Spent
Community Services |  |  |  |
Youth Services |  |  |  |
Human and Spiritual Values |  |  |  |
Young Children Priority One |  |  |  |
Additional Comments or Questions |
Submitted by
*Name: |
*Email address: |
Telephone: |

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