Kiwanis New Member Request

Membership Application Form
Thank you for your interest in becoming a member of the Kiwanis Club of Bartlesville. The application collects some personal information that is required to enroll a member into Kiwanis International. Some fields are required by Kiwanis International.
Kiwanis is an international civic organization centered around improving the quality of lives of children. We are a dues based organization. We also require a background check every other year since we frequently work with children.

Dues are $180/yr ($15/month) and projected to increase to $192/yr. ($16/Month) in Oct. or Oct. 2025. (Payment can be Annually, Quarterly or Monthly.)
Background Check cost is $5.85. (It is a pass/fail check and no information on your background is given to any member in the club or District. Check is handled by a 3rd party company.)

Kiwanis Club of Bartlesville is part of the Texas Oklahoma Kiwanis District with approximately 300 clubs. The District is divided into roughly 35 Divisions of 8-12 clubs each. We are part of Div. 25. (Region 8 - Northern Outpost.) The District has between 5,000 and 6,000 members.
Club Activity Interest

Sooner Jr. Miniature Golf CourseFishing DerbyJuly 4th Freedom FestChristmas ParadeCelebrate GivingClub Officer PositionClub Board PositionExpressing interest does not commit you to any activity.Other
First Name*
Middle Name*
Last Name*
Membership Type*

New MemberNew Corporate MemberFormer MemberCurrent MemberTransferring Member-Former SLP (Key Club) Member
eMail*
Birthday
Primary Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Phone
Please enter a valid phone number.
Cell Phone
Please enter a valid phone number.
The Kiwanis Mission

Kiwanis is a global organization of volunteers dedicated to improving the world one child and one community at a time.

The Kiwanis Vision

Kiwanis will be a positive influence in communities worldwide — so that one day, all children will wake up in communities that believe in them, nurture them and provide the support they need to thrive.

The Kiwanis Motto

Serving the children of the world.

The Kiwanis Objects
- To give primacy to the human and spiritual, rather than to the material values of life.
- To encourage the daily living of the Golden Rule in all human relationships.
- To promote the adoption and the application of higher social, business and professional standards.
- To develop, by precept and example, a more intelligent, aggressive and serviceable citizenship.
- To provide, through Kiwanis clubs, a practical means to form enduring friendships, to render altruistic service and to build better communities.
- To cooperate in creating and maintaining that sound public opinion and high idealism which make possible the increase of righteousness, justice, patriotism and goodwill.
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Membership Application Form