This form acknowledges the Rotary Club of

has received their Rotary Club's RYLA 2026 Informational Packet.

Included Information in Club Documents Attachment:

• 2026 RYLA Club Acknowledgement & Commitment Form (this form)
• 2026 RYLA Club Announcement
• 2026 RYLA Club Coordinator's Planning and Student Selection Guide (3 pages)
• 2026 RYLA Club to Student Invitation Letter

Included Information in Student Documents Attachment:

• 2026 RYLA Student Registration Form
• 2026 RYLA Student Rules and Guidelines
• 2026 RYLA Student Waiver
• ADVENTUREWORKS - Guardian's RELEASE OF LIABILITY for Minor Child

Each document is included in this email for your convenience. Please make additional copies as needed. Documents are also available on the District web site: https://www.rotarydistrict6780.com/RYLA.php

Please return this completed form no later than May 31, 2026. We need to know the number of student participants your club will be sponsoring. Maximum student participants 180.

You may include payment for your students with this form or mail separately to:
Rotary - RYLA
PO Box 2808
Crossville TN 38557
$175 per student if received prior to September 1, 2026.
$200 per student if received after September 1, 2026.

****NOTE****

Students can be any high school junior (Fall 2026) leader. They do NOT need to be Interact Club members. This is your chance to work with your counselors to highlight outstanding juniors and introduce them to Rotary as well as Interact Club members who will be high school juniors (Fall 2026).