Sight Night Reporting Form
Thank you for participating in Sight Night. Please let us know about your Sight Night collection efforts by completing the information below.

If you partnered with a LensCrafters store, it is important to report the total number of eyeglasses you collected to the store's Gift of Sight Captain or general manager.

Please submit this form by November 12.
 
Your name: (required)
E-mail address:

Club name (Lion, Leo, Scout), if applicable:

District # (Lions):
Sight Night contact person (if different from name above):
Daytime phone: (required)
Address: (required)
City: (required)
State:
Zip code:
Number of eyeglasses collected during Sight Night: (required)
(If you partnered with another group, please include the total number of eyeglasses they collected as well.)
Collection period:
Did you collect glasses in conjunction with a local LensCrafters store? (required) Yes No

Store Location:

Did you partner with another organization in your community for Sight Night? If yes, who?
Total number of volunteers that participated in your Sight Night activity: (required)
Total number of volunteer hours:
Please share stories and tips from your Sight Night collection:
How did you collect the eyeglasses?
How did you learn about Sight Night?

To submit* photographs from your Sight Night event, please mail photographs, captions and your contact information to:

LIONS CLUBS INTERNATIONAL
ATTN: PUBLIC RELATIONS DEPARTMENT/SIGHT NIGHT
300 W 22ND STREET
OAK BROOK IL 60523-8842

*By submitting photos you give Lions Clubs International and LensCrafters permission for unlimited use. We may post your photos on the Web or use them in a story.