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Thank you for taking the time to fill out this form. You will be eligible to receive District-wide newsletters through email following the completion of this form.

Every member is welcome to fill out this form. However, all officers must complete this form. Your Lieutenant Governor will contact your Key Club in the coming months to ensure that full records have been submitted.
The information submitted will not be shared with anyone outside the Board of Trustees and the District Administrators of the Alabama District of Key Club.

If you have any questions, email

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What is your name? *
What is your expected graduation year? *
What is your email? Provide one that you check regularly and doesn’t block emails from outside organizations (as some school emails do) *
What is your phone number? Text and/or direct calls will only be used as a last-resort method of communication. *
What school or homeschool is your Key Club associated with? *
What is your faculty advisor’s name? *
Division Number (1-15). If you are unaware, please type I don't know. *
What position were you elected to for the 2021-2022 term? *
(Officers only) What is your club’s meeting schedule? Include location and times if possible.
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