Step 1: Application

  *click on the "i" button for information on that field

• Member Status *RenewalNew Member
• First Name *
• Last Name *
• Spouse Name
• Home Address *
• Phone Number *
• Email Address *
• *Note: The information above will appear in the LCA Directory except for the email address.
• 1 Child and Age Enter your child's name and age so we can notify you of age appropriate activities.
• 2 Child and Age
• 3 Child and Age
• 4 Child and Age
• 5 Child and Age
• Teen Services 1 Advertise services your teen is offering to the Leawood community.Teen's Name: Choose Services Babysitting Y/N: CPR/Red Cross Y/N: Lawncare Y/N: Snow Removal Y/N:
• Teen Services 2Teen's Name: Choose Services Babysitting Y/N: CPR/Red Cross Y/N: Lawncare Y/N: Snow Removal Y/N:
• Directory Service Listing 1 If you have a businiess you'd like listed please indicate here.Company Name: Your Name: Phone: WebSite: Service: Email:
• Directory Service Listing 2Company Name: Your Name: Phone: WebSite: Service: Email:
• Membership Dues: *
• Directory Listings $5 Each0$5$10
• Donation to LCA Scholarship Fund for Columbine Students (recommended amounts: $5,$10,$25, $50, $100 or higher)
• Add everything and enter the total here *
 
• **IMPORTANT: Write this total down and enter it in the payment form manually in Step 2 (you will be taken to Step 2 for payment after clicking the submit button)

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