Eyeglass Program

One of the major projects of the Lions Club International is sight.  It is the desire of the Zionsville Lions Club to be a part of the program by providing eyeglasses to students and adults who have a financial need.

The Lions Club will rely on the judgment of the Principal and the Nurse in each building to determine the financial need of the student. The Eyeglass Committee of the Lions Club would like a copy of the Student Information Sheet. Every effort will be made to ensure the privacy of the individual.

The Zionsville Eyecare and the Zionsville Family Optometry Practice and representatives of the Zionsville Lions Club have agreed that the following fee schedule is acceptable:

Lenses (single vision) – $50.00  •  Frames – $55.00  •  Examination – $45.00

If for some reason an additional expense is unavoidable, as in the case of bifocals, the Lions Club Eyeglass Committee should be contacted before the bill is submitted to the Lions Club Treasurer.  The Club Treasurer will pay the amount of the bill that has been agreed upon.

If the student and their family does not choose to use the doctors who have agreed to the reduced rates, it must be understood that the Lions Club will only pay $150.00 of the bill and they are responsible for the rest.

Lions Eyeglass School Liaison:
Jenny Bivans
733-4007 Ext. 16999
Lions Club Eyeglasses
P.O. Box 252
Zionsville, IN  46077

 

Adult Information Form

Student Information Form

Procedures

Adult Authorization Form

Student Authorization Form