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Sight and Hearing assistance

The Lions Sight and Hearing Foundation funds services to restore the gifts of sight and hearing for those who can’t afford the help they need.
If you are in need of assistance in vision treatment, glasses or help with hearing aids and related services, you may apply for help by completing either the paper or online application on this page. 

Download Application for Assistance with Eye or Hearing Care

Click below to download a paper application and return to the Denbigh Lions Club: 
​Lion Diane Reed
PO BOX 790
Urbanna, VA  23175

    Apply online for sight and hearing assistance

    APPLICANT INFORMATION
    INCOME AND EXPENSES
    ​Disclaimer and Signature
    I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.
Questions?