TA Online Application

Team Assistants Needed!
RYLA is held each year Idyllwild Pines
  • Spend a weekend with multi ethnic, multi cultural, multi talented teenagers at a leadership camp in Idyllwild Pines.
  • Be a part of a High Ropes adventure Fellowship with some great Rotarians from all over the district.
  • Be thought of as “cool” by a teenager (not your own, of course).
  • Be inspired…be touched…see a difference…make a difference…

Apply early to be sure your application is considered.


Team Assistant Information:

First Name  
Last Name  
Name on your name tag  
email Address  
Gender   MaleFemale
Birth Date  
Home Phone Number  
Cell Phone Number  
Home Address  
   
City, State   , CA
ZIP code  
T-shirt size  
Physical Limitations

(if none type "none")
 
List any medications you take

and reasons for taking them
 
Dietary Restrictions  

Choose a Training Date to Attend
Saturday Feb 25 2017 8:30am-12:30Wednesday Mar 15 2017 6:00pm-9:30pm

Upload Your Picture: (optional)

(jpg, jpeg, gif, png)  

Sponsoring Rotary Club  

Terms and Conditions

   

Acceptance   I certify that I am over the age of 18 and I am willing to accept
the responsibilities of a Team Assistant at RYLA.
Acceptance    I certify that I have read the [What Not
to Bring] Portion of the Camp Guidelines and agree that I will
not violate the [No Electronic Device Policy].
Acceptance    I acknowledge that by electronic signature I agree to these
terms and release RYLA 5320 from any liability for lost or stolen items. 
     
Enter the characters    
shown to electronically    
sign this
document
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