Preview mode
Published
Copy responder link
Lake Keesus Membership Form 2025
Thank you for joining the Lake Keesus Advancement Association!

Your Membership Dues are put to use for: social events, association insurance, website costs, memorials to Camp Whitcomb-Mason to honor our deceased members, and much more.
Membership Type:
Last Name: *
First Name(s): *
Address:
Bay:
Clear selection
Cell Phone #1:
Cell Phone #2 (optional):
Email #1:
Email #2 (optional):
Children's Names (optional): 
Would you like to be included in the Membership Directory available to all members?  (It will not be posted on the website)
Clear selection
Social Events:
Here are some of our current social events:  4th of July Kiddie Parade & Picnic, Chili Dump, Keesus Koncerts, Fish Fry, Holiday Party, Sheepshead, Family Picnic, Pontoon Trivia Contest, Bike Ride, Book Club, etc.  
Do you have any suggestions for activities or events you would like LKAA to add?
Payment:
You are not a member until we receive payment.  

Option #1:  Mail a check made out to LKAA to: PO Box 618, Merton, WI 53056
Option #2:  Pay by credit card, debit card, or Paypal using THIS LINK
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report