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RYLA Team Details
Hey there RYLA Leader!
We're SO excited to have you as part of the RYLA A-Team this year and we know that the RYLA participants have something very special in store for them!
Thank you so much again for saying 'yes' to Rotary International in District 9780, to the upcoming RYLA participants and to the Leadership Team in this way!
Bring on the upcoming seminar - we truly can't wait to work with you.
Please complete the following questions honestly and as soon as possible, to ensure that we can cater for you appropriately at RYLA and also our training weekends. Your privacy is deeply important to us and your information will be kept strictly confidential.
If you have any questions or would like to let us know anything that is not reflected on the form, we are always only a quick email away!
With excitement,
Tristan and Jo
COMPLETE FORM
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Name to appear on RYLA Leadership Team badge:
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Yes
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Add RecommendationAdd TagsView All Assigned TagsNo
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Fully Vaccinated (three doses)
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Add RecommendationAdd TagsView All Assigned TagsNot Vaccinated
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Add RecommendationAdd TagsView All Assigned TagsDouble Vaccinated
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RYLA polo shirt size in gender neutral sizing:
(eg. S, M, L, XL, XXL, XXXL etc.)
(eg. S, M, L, XL, XXL, XXXL etc.)
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Do you require a RYLA leadership team polo shirt (black in colour)?
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Yes, I don't have one in my possession
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Add RecommendationAdd TagsView All Assigned TagsYes, the one I have in my possession requires replacement.
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Add RecommendationAdd TagsView All Assigned TagsNo. I have one and I'm good to go!
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MEDICAL DETAILS
Allergies and associated medication:
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Diagnosed physical and/or mental health conditions it is helpful for Co-Directors to know about (including medications):
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Do you have a current medical treatment or care plan for any of the above?
Please Note: If “Yes”, please discuss with Co- Directors.
Yes
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Add RecommendationAdd TagsView All Assigned TagsNo
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ADDITIONAL INFORMATION
Do you require any mobility aids or supports?
Do you require any mobility aids or supports?
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AMBULANCE AND HEALTH COVER
Membership numbers and name of health cover provider (if applicable):
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Their contact phone numbers:
(Please list as many as possible in the order of contact preference)
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Is there anything else you feel the
Co-Directors may need to know about you?
Co-Directors may need to know about you?
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