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ROTARY DISTRICT 5300

CLUB INTENT TO PARTICIPATE
 

Please indicate your Club's intention to participate in this year's RYLA program.

If you have any questions regarding participation, please contact the
Participant Coordinator Jason Lamoreaux at
760-684-8008 or email:jl@lamorgroup.com

Club Name
Number of Students
Must be equal male and female
 Attending Male(s)
Attending Female(s)
Total # of Students
$300.00 per Student
RYLA Club Chair Name
Home Phone
Cell Phone
Preferred Email Address
Payment
 

 

Once you submit this form you will have the opportunity to print out your confirmation if needed to submit to your treasurer for payment. Which is due no later than February 15, 2016