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RYLA District 7255 "Service Above Self"

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YC, Facilitator, Crew Spring RYLA 2025 Registration

Student First name*

Student Last name*

Student Non-School Email*

Please enter an e-mail that is not affiliated with your school as school addresses often block outside senders.

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Facilitator

Crew Member

Youth Committee Member

Student Cell Phone Number*

Student Date of Birth*

Month

Day

Year

Student Gender*

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Female

Other

Multi-line address

Country/Region*

Address*

Address - line 2

City*

Zip / Postal code*

Student Current Grade Level*

What high school do you currently attend?

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The Rotary International District 7255

Rotary Youth Leadership Association

admin@ryladistrict7255.com

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