Eye Glasses and Hearing Aid Applications

Eyeglasses Application

LEAP Application 2017-18 English Fillable PDF

LEAP Application 2016-17 Spanish PDF

Hearing Aid Application

Roar! Application 2017-18 English Fillable PDF

Roar! Application 2017-18 Spanish PDF

Lion’s Patient Care Program

Patient Care Application 2017-18 English Fillable PDF

Patient Care Application 2017-18 Spanish PDF

Patient Care Application 2017-18 Espanol PDF

Fill out the appropriate application and send the application to

Junction City Lions Club
c/o John Reerslev
29388 Dane Lane
Junction City, OR 97448

If you have questions, please contact John Reerslev at 541-554-4274

Free Eye Glass Applications also available at

Sterling Vision | Oregon Eye Docs Junction City Location - 707 Greenwood St, Junction City, OR 97448