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Rotary District 9980 RYLA 2021 Application Form
PERSONAL DETAILS
Surname *
Given Name *
Address *
Address 2
Town / City *
Home phone
Business Phone
Mobile Phone
Email Address *
Facebook login email
Awardees will be invited to join a closed Facebook group, pre RYLA, where they will receive course updates and important information
Date of Birth
MM
/
DD
/
YYYY
Gender
Clear selection
Shirt Size
Clear selection
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