RYLA Participant Form

Dear Rotarians,

Please fill out the personal information for your selected RYLA participant. Note: If you have multiple students, you will need to submit a form for each student separately.

Student participants MUST have access to a computer and the Internet to participate in the conference. If families don’t have this, then the Sponsoring Clubs should provide them.

We desire to have a diverse group of participants, so we encourage you to consider that in your selection process. All participants selected should be mature, motivated, and interested in developing their leadership skills.

You also need to fill out the Rotarian Sponsor section. This section is designated for the person your club chooses to be the liaison for RYLA. Once all required fields are completed, please click the “Submit” button below to receive your confirmation.

RYLA Participant Forms are due by April 15, 2021.

Please note: Once this form is submitted, your selected participant will receive an email with further information from the RYLA Planning Committee.

Fill out my online form.