RYLA 5830 Club Reservations
Please complete this form online and submit payment. You do not need to have your campers selected prior to reserving your spots at camp. Reservations will not be confirmed until payment is received.

All forms and payment must be received no later than November 2. Early bird payments must be received by September 28th.

Email address *
Rotary Club *
Your answer
Club Coordinator Name *
Your answer
Phone Number *
Your answer
How many high schools does your club represent? *
Your answer
How many camper spots are you reserving? *
This number should be no more than 2x the number of high schools you represent.
Your answer
Do you qualify for early bird pricing? *
Full payment and reservation form bust be received by September 28th.
Is your club currently hosting a Rotary Youth Exchange student who will be attending camp?
Please speak with the District if you would like them to assist in the financial obligation for this student.
If available, how many additional camper spots would your club like to reserve.
Additional spots will be awarded after October 28th based on availability, need, and first-come, first-serve basis. The cost of additional campers will be the same as your first reserved spots ($175 for early bird or $200 regularly). Please do not submit payment for additional spots until they have been confirmed. Any additional payment will be considered a donation to RYLA 5830 and will not be refunded.
Your answer
Refunds for cancellations are available until 1 week prior to your club’s session.

Payments should be made by check, payable to District 5830 RYLA and mailed to:

District 5830 RYLA Treasurer
Stephanie Parker
1035 Cannon Place
Paris, TX 75462

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