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RYLA 6910 2024 Commitment Form
Please have this form and payment submitted by April 1st, 2024. The camp is limited to the first 80 students that apply.
A non-refundable check of $600 (made out to Rotary D6910 - Subject/Memo: RYLA) should be mailed directly to:
Jeremy Echuck
1200 Old Alpharetta Rd
Alpharetta GA 30005
Or payment can be completed via our website: www.ryla6910.com (additional fees may apply)
Name of Club
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Name of Youth Chair/New Generation
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Rotary Club address or an address we can mail Thank You cards to
Phone Number of Rotarian responsible for youth services
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Email of Rotarian
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Our club would like to commit to send the following number of students to RYLA
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The cost per student is $600, and I understand that this is due regardless if your student has to cancel and can't attend our camp
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I Understand
By checking this box below your club understands that the RYLA camp does not accept students that have already applied and attended the camp. If you do submit an applicant that has attended in a previous year your club will still be responsible for notifying that student that they can’t attend, and will still be responsible for the cost of the commitment.
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I understand
By Checking this box below, your club understands that you’re responsible for helping the student secure transportation to and from the RYLA camp. Students are not allowed to drive themselves or have a vehicle at the camp.
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I Understand
I acknowledge that the District 6910 Rotary Youth Protection Policy recommends that when Rotarians are involved in transporting children to and from the RYLA camp; that 2 or more non-related adults be present at all times in the transportation process.
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I Understand
I acknowledge that it is the responsibility of our club to make sure the selected student is comfortable with participating in all the scheduled activities, including white water rafting, hiking, and participating in team building activites
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I understand
