Club Registration Form
Rotary Youth Leadership Academy
Club Name
*
Club Liaison:
*
First Name
Last Name
Club Liaison E-mail:
*
Number of candidates we will send:
*
1 delegate
2 delegates
3 delegates
1 or 2 or 3 delegates (not sure)
We agree to the following...
*
We have read and understood the Club Checklist including the stipulated deadlines. We also agree to provide payment of $300 Canadian ($250 U.S.) for each delegate we send to the RYLA program. Please pay by credit card on the District Website noting payment is for RYLA or by cheque or by e-transfer (see directions to each on the RYLA site)
Other
Submit
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