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First Name
*
Last Name
*
Graduation Year
*
Enter "0000" if not applicable.
Club Name
*
Position
*
President
Vice-President
Secretary
Treasurer
Secretary-Treasurer
Alumnus
Communications Officer / Editor
Kiwanis Advisor
Kiwanian
Faculty Advisor
Key Clubber
Other
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Division
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Capital
Champion
Gulf
Valley
Other
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