Young Rotary Youth Leadership Awards (YRYLA)

2017 Iowa YRYLA (Districts 5970 and 6000) Student Application
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    Must be in 7th or 8th grade to apply.
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question

    YRYLA Rules and Regulations

    EXPECTED BEHAVIOR Respect for property - public and private Respect for privacy, needs and personality of others Respect for Counselors, Staff and RYLA guests Respect for schedule -- be on time UNACCEPTABLE BEHAVIOR Violating laws of Iowa Leaving the group without informing a counselor Breaking curfew No electronic devices will be permitted at camp (cell phones, tablets, gaming devices, cameras). We will have a staff photographer. Parents will be given an emergency number which will be answered 24 hours a day in case of an emergency at home. In case of an emergency at camp, parents will be notified immediately.
    This is a required question
    This is a required question

    Parent/Guardian Permission

    By typing my name below I acknowledge and agree to each of the items below and I, as parent or guardian of the applicant, give my consent for my son/daughter to attend: - Rotary's 2017 Iowa YRYLA Camp, - 3:00 p.m. Sunday, July 23 - noon Friday, July 28, 2017, - At Grinnell College in Grinnell, Iowa. I waive any claims for negligence against the Rotary Districts, Rotary Clubs and Rotarians and Counselors and hereby assume risk for any illness or injury by the applicant during the YRYLA Camp. In case of medical emergency, I understand that every effort will be made to contact me. In the event I cannot be reached, I understand that the Grinnell Regional Health Center services will be available, and I hereby authorize conference officials to hospitalize, secure proper treatment and to order anesthesia or surgery for my child, for which I will guarantee payment. To the best of my knowledge, my son/daughter is in good health and I give my permission for him/her to participate in camp activities, except as noted in "Activity Restrictions". I understand that in the event my son/daughter breaches any camp rules, he/she may be immediately sent home at my expense.
    This is a required question

    Additional Applicant Instructions

    After you click "Submit", you are not quite done. If not already in contact with a Rotary member in a local Rotary club, please contact a YRYLA Representative from the Rotary club through which you are applying. A list of the Club YRYLA Representatives may be found via the link with the name 'Club RYLA and YRYLA Representatives' at http://www.IowaRYLA.org/Rotary-Contacts. If you live in a community without a Rotary club, go back to the top of the form and select "Not Sure" for the question "Local Rotary Club" and we'll help you get in contact with a club. Thank you.