Membership Form

Name (required)

Your Email (required)

Phone # (required)

Spouse Name

Spouse Email

Spouse Phone #

List of children over age of 18 years and other adult household members (parents)

Address (required)

Select Membership (required)
ResidentStudent

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Membership Fees (required)
I would like Fees waivedI would like to pay Fees

Average Monthly Expenses @ KIC paid for by your membership fees and donations is about $10,283.

If making a one time payment then please CLICK HERE.
If you want to sign up for a monthly pledge then CLICK HERE to download the monthly pledge form.

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E-signature (required)

Date (required)

I declare that all the info above are true are correct. I am aware that the Election Committee will review my information and may contact me to verify this information. I am also aware if there is any information that can not be verified or any important info is missing on this form then my membership application can be rejected: (required)

*Sending can take 1-2 minutes, please do not use the back button or exit the page until sending is complete.

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