Pollock Pines-Camino Rotary

Thank you for showing an interest in attending Camp RYLA 2011. The selection process for this year's participants will be very difficult due to the overall high quality of the applicants. We invite you to complete this form and include the required essay to help our committee select this year's campers.

Dates of RYLA 2011:

Camp I: June 13-June 18, 2011

Camp 2: June 20-June 25, 2011

Location: Grizzley Creek Ranch in Portola, CA

Transportation by bus provided by the Pollock Pines-Camino Rotary Club

Attendees: Approx. 100 young leaders from high schools in Northern California and Northern Nevada.

Selection process: Participation must be currently in the 11th grade.

Must be a resident of Pollock Pines or Camino.

Final selection will be made by a committee of the Rotary Club .

Instructions: On a separate piece of paper, please complete the following information and attach an original 100 word or less essay, entitled"Why I Want To Attend RYLA Leadership Camp"

Name:

Age:

Grade:

Home Address:

Home Phone:

Email:

Parent Name/Daytime Phone

High School:

List current Activities at School(Sports, Clubs, Projects)

List Current Activities off campus (employment, clubs, volunteer work)

Is there any reason that you cannot attend Camp RYLA for the entire duration of the camp?

APPLICATION DEADLINE MARCH 15, 2011

Return the completed form and essay to:

Pollock Pines-Camino Rotary

P.O. Box 88

Pollock Pines, CA 95726

Attn: