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RYLA Rotary Club Student Selection Form 2025

March 11 @ 8:00 am - April 11 @ 5:00 pm

RYLA 2025 Rotary Club Student Selection Form

Must be filled out by the sponsoring Rotary Club once ALL of the students are selected. Deadline is March 31.

The deadline for filing this form is Monday, March 31, 2025.
Rotary Club of*
What is the name of your Rotary Club?
What is your current position in your Rotary club?*
- Club President
- Club Secretary
- Club Treasurer
- Club Youth Service
- Club RYLA Chair
- Club Youth Compliance Officer
- Club Director
Name of the Rotarian completing this form*
First Last
Email address that you review frequently*
Enter Email Confirm Email
Phone number of Rotarian completing this form*
Please enter the student names, including alternates (clearly marked as "Alternate"), along with their respective high schools. List one student per line in the following format: Student Name – High School Name. For alternates, use this format: Student Name (Alternate) – High School Name*
Student Information Submission

Please enter the names of all attending students, including alternates (clearly marked as "Alternate"), along with their respective high schools. List one student per line in the following format:

Student Name – High School Name

Click the (+) sign to add more students as needed.

The total number of students listed must match the number of reservations made for your Rotary Club.

This form must be completed by the Rotary Club—not the Guidance Office or Interact Adviser—to ensure your club is fully aware of and approves the students attending the RYLA 2025 Conference on its behalf.
Name
This field is for validation purposes and should be left unchanged.

Details

Start:: March 11 @ 8:00 am
End:: April 11 @ 5:00 pm

Organizer

: Claudia Kammer, RYLA Chair
Phone: (609) 827-8771
Email: crkammer@aol.com