• Contact Us
  • About Rotary
  • Find a RYLA Rep
  • Senior Counselor Application
  • Junior Counselor Application
  • How To Apply
  • User Login/Logout

JC Application

Step 1 of 2

50%
Name(Required)
MM slash DD slash YYYY
Gender(Required)
Shirt Size(Required)
Current School Grade(Required)
Address(Required)
Email(Required)
Can you receive SMS/Text messages at this number?(Required)

Past RYLA Participation

Did you attend Young RYLA?(Required)
Did you attend RYLA?(Required)

Parent/Legal Guardian Information

Parent/Guardian Type(Required)
Parent/Guardian Email(Required)

Emergency Contact Information

Additional Information

(Optional)
Please share anything else you want the RYLA committee to know about yourself to help us in your decision, such as current leadership roles or accomplishments. Remember - this is your opportunity to distinguish yourself from the other applicants.
Hidden
Hidden

Please Review Your Application Before Submitting (Or Saving)

{all_fields}
This field is for validation purposes and should be left unchanged.

We are using cookies to give you the best experience on our website.

You can find out more about which cookies we are using or switch them off in settings.

Rocky Mountain RYLA
Powered by  GDPR Cookie Compliance
Privacy Overview

This website uses cookies so that we can provide you with the best user experience possible. Cookie information is stored in your browser and performs functions such as recognising you when you return to our website and helping our team to understand which sections of the website you find most interesting and useful.

Strictly Necessary Cookies

Strictly Necessary Cookie should be enabled at all times so that we can save your preferences for cookie settings.

If you disable this cookie, we will not be able to save your preferences. This means that every time you visit this website you will need to enable or disable cookies again.