- RYLA 2008 Registration

RYLA 2009

PERSONAL INFORMATION 

 Full Name:

 Street Address:

 City: State: Zip Code:

 Email Address :

 Contact Number:

CLUB INFORMATION

Rotaract Club

Position: 2008-2009 Rotary Year (Select All that Apply)

President

Vice President

Secretary

Treasurer

Sgt-of-Arms

Director of Professional Development

Director of International Service

Director of Community Service

Director of Club Service

Director of Fundraising

Director of Social Activities

Director of Public Relations

Director of Programs

Director of Youth Activites

Director of Web Development

Student Senate

Historian

Rotary Liason

Past President

Past President/DRR

Past President/Past DRR

Past Board Member (Please Specify)

Other

Member

Rotaract Member Since:

RYLA INFORMATION

Did you attend RYLA 2008 in District 7620?

As a Rotaractor, how many times have you attended RYLA in District 7620?

As a Rotaractor, have you attended RYLA in another Rotary District?

If yes, where?

Did you attend RYLA while in high school in District 7620?

If yes, how many times?

All Rotaractors must attend one of the two following group interviews:

(NOTE: Upon submitting your form, you will be contacted with a specific time for that particular day).

PERSONAL INFORMATION

Badge Name:

Gender:

Age:

T-Shirt Size:

Food Choice:

Are you interested in being a “Judge” for the Talent Show, Mascot Presentation or Sharefair?

(You will be informed by District 7620 RYLA-Rotaract Chair if you will be judging any of the above during the 1st week of February).

EMERGENCY INFORMATION

 Name:

 Relationship: Contact Number:

Upon hitting the submit button, your name will appear in the "Who's Attending" list within 3-4 days.