Rotary Club Pledge Form

Interested in supporting RYLA?

Your club can do so by filling out the below online submission by Janaury 1, 2021.

After your club pledges to pay the $TBD per participant fee, it is imperative that your participant's information is submitted by no later than March 1, 2020.

If your club does not provide us with the participant information, your pledge submission grants us the ability to choose participant within the district on your behalf.

Please note, if the conference gets canceled due to COVID-19, your clubs will not be billed.

{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }

Rotary Club Pledge Form

Interested in supporting RYLA?

Your club can do so by filling out the below online submission by Janaury 1, 2021.

After your club pledges to pay the $TBD per participant fee, it is imperative that your participant's information is submitted by no later than March 1, 2020.

If your club does not provide us with the participant information, your pledge submission grants us the ability to choose participant within the district on your behalf.

Please note, if the conference gets canceled due to COVID-19, your clubs will not be billed.

Rotary Club Name: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Number of Students Pledged: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Any Additional Donation Amount Pledged: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Rotarian RYLA Contact for Club: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Rotarian Best Contact Phone Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Rotarian Email Address: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
What High School(s) does your Rotary Club actively support? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
What is the contact person's name at the High School(s)? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
We agree to have District 6970 bill our club for $395 per student pledged. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Any Other Questions or Comments about your pledge? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }

Rotary Club Pledge Form

Interested in supporting RYLA?

Your club can do so by filling out the below online submission by Janaury 1, 2021.

After your club pledges to pay the $TBD per participant fee, it is imperative that your participant's information is submitted by no later than March 1, 2020.

If your club does not provide us with the participant information, your pledge submission grants us the ability to choose participant within the district on your behalf.

Please note, if the conference gets canceled due to COVID-19, your clubs will not be billed.

Rotary Club Name: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Number of Students Pledged: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Any Additional Donation Amount Pledged: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Rotarian RYLA Contact for Club: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Rotarian Best Contact Phone Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Rotarian Email Address: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
What High School(s) does your Rotary Club actively support? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
What is the contact person's name at the High School(s)? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
We agree to have District 6970 bill our club for $395 per student pledged. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Any Other Questions or Comments about your pledge? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }