District 5910 - Microsoft
District 5910
Rotary Youth Leadership Awards (RYLA)
DEADLINE: October 18, 2019
Club Commitment Form (2 pages)
YES, our Rotary Club will participate with the upcoming District 5910 Rotary Youth Leadership Award program (scheduled for January 10, 2020 to January 12, 2020).
Our club wishes to scholarship ________ students @ $175 each.
# of participants
Make payment payable to:
Rotary District 5910 RYLA
Return a hard copy of commitment form and payment to:
RYLA 2016
c/o Birda Gaskin, RYLA Registrar
10023 Sagecourt
Houston, TX 77089
E-Mail Registration Questions to:gaskinbirda@
Telephone Registration Question: 832-236-0408 (cell)
Please return with payment by: October 18, 2019
RYLA registration forms will be posted on the District 5910 website. RYLA information is under the Youth tab.
The Club RYLA Chair/Coordinator listed below will receive additional information by email in October 2019.
Contact Information:
Name of Rotary Club:_______________________________________________________
Name of Club RYLA Chair/Coordinator: ______________________________________
Preferred Mailing Address: ________________________________________
_____________________________________________________
Daytime Telephone: _____________________________________________
FAX: _________________________________________________________
E-Mail: _______________________________________________________
Statement of Participation: Please fill out the following Memorandum of Understanding on the next page.
Statement of Participation
Students participating in RYLA 2020 must plan on arriving at the conference site no later than 7 p.m. on Friday, January 10, 2020 and be prepared to stay during the entire program (Jan.10-12, 2020). Students participating in RYLA 2020 should check the local school event schedule before applying (i.e. basketball games, U.I.L. events, etc.) If there is a scheduling conflict, please allow someone else to attend RYLA who can participate. There are no exceptions to this policy.
Yes, I have read the statement above and agree to select students who do not have a
scheduling conflict.
While Clubs often partner with local School Faculty and/or Interact Sponsors to select students to send to RYLA and help get them registered, it is NOT the school’s responsibility to get students registered online or to communicate with students about necessary RYLA details. Your Club is fully responsible for all required registration details. It is also your Club’s responsibility to provide/coordinate transportation to and from RYLA for the students you select.
Yes, I have read the statement above and acknowledge that it is our Club’s responsibility to
register our students and provide transportation to RYLA. This responsibility DOES NOT belong to the student’s school or counselors.
The deadline for registering students online is Nov 27th. Clubs are encouraged to select and register alternates for the possibility that one of their selected students has to back out with short notice. Additional alternates can be registered through Dec 20th. After that date, if you need to fill a spot for which you have paid, an alternate who is registered from a different Club will be used.
Yes, I have read the statement above and agree to have our students registered by the
stated deadline.
___________________________________________________
Signature of Club Representative
(Updated August 8, 2019)
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