Does Your Lions Club Provide Vision Assistance?

KidSight works to help families overcome the barriers that would otherwise keep them from seeking vision care for their child. To do this, we provide one-on-one navigation services and partner with local eye doctors and Lions Clubs to form a vision care network.

We want to know more about your Club and the assistance you provide in your community. Please fill out the survey below or CLICK HERE to download a paper copy.

Lions' Club information

Lions' Club Name(Required)

Does your Lions Club provide vision assistance for children in your community?(Required)

Yes

Does your Club work with a specific eye doctor to provide assistance?(Required)

Yes

If yes, which doctor(s)

Club Contact Information

Let us know who we should contact when reaching out to your Club about assistance opportunities.

Club Contact(Required)

First Last

Title or Position in Club

Preferred Method of Contact

Your Email Address(Required)

Email Address Confirm Email Address

Your Phone(Required)

Best Time to Call You(Required)

Tell Us More About Your Assistance Program

Any Question for KidSight?

We would love to tell you more about our work! Let us know if you have any questions about KidSight.

Your Comments/Questions