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We want to support Camp RYLA in the following ways: Sending Campers: NOTE camper reservations are first come first serveget yours in early to ensure a spot! All camper fees postmarked by November 30, 2021, get a $25 /camper discount No sponsorship forms or payments will be accepted after January 5, 2022 Payment Submitted Before November 30, 2021: _________@ $550 ea. = $___________ Payment Submitted After December 1, 2021: _________@ $575 ea. = $___________ Meal Sponsorship: Financial Support & Volunteers to Cook/Serve/Clean-up $500 ea. = $___________ Specify Date: _______________ breakfast or lunch or dinner (circle) Dates for meals will be reserved as received. Financial Support only for ________ Meal(s) $500 ea. = $___________ Financial Support only for ________ Daily Snack(s) $300 ea. = $___________ Other Financial Support RYLA is lead by a completely Volunteer Staff made up of returning Camper Alumni. Please consider also making a contribuon to college scholarships awarded, as available, to our amazing staff. Donaons for ______RYLA Staff Scholarship(s) THANK YOU! $500 ea.= $____________ Misc. Financial support of RYLA (write in amount) THANK YOU ! = $____________ Stop Hunger Now Donaon (write in amount) THANK YOU! = $____________ *Other goods and/or services for RYLA 2021 direct inquires to Barbara Najera, Camp Director (512)934.3764 Please make all checks payable to Rotary District 5870 Amount of check enclosed: Total: $_______________ Name of Club: _________________________________________________Date: _____________________________________ RYLA Coordinator Name: __________________________________Signature ______________________________________ Coordinator Phone Number: ______________________________EMAIL: _________________________________________ The Due date for return of this form is January 5, 2022. No forms will be considered after this date. Refund requests must be in writing to Barbara Najera By March 31, 2022100% less $20 processing fee (e-mail date or postmark) By April 30, 202250% less $20 processing fee (e-mail date or postmark) NO REFUNDS after April 30, 2022 Please mail completed forms & checks to: Jennifer Pakenham, RYLA Registrar 1101 Swenson Farm Blvd. Pflugerville, TX 78660 jenniferpakenham@yahoo.com 2021-2022 Club Sponsorship Form Quesons? Please contact: Barbara Najera, RYLA Director Rotary Club of Pflugerville (512) 934.3764 [email protected] RYLA Alumni Program (write in amount) THANK YOU! = $____________

1-2022 lub Sponsorship Form

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We want to support Camp RYLA in the following ways:

Sending Campers: NOTE camper reservations are first come first serve… get yours in early to ensure a

spot! All camper fees postmarked by November 30, 2021, get a $25 /camper discount No sponsorship forms or payments will be accepted after January 5, 2022

• Payment Submitted Before November 30, 2021: _________@ $550 ea. = $___________

• Payment Submitted After December 1, 2021: _________@ $575 ea. = $___________

Meal Sponsorship:

• Financial Support & Volunteers to Cook/Serve/Clean-up $500 ea. = $___________Specify Date: _______________ breakfast or lunch or dinner (circle) Dates for meals will be reserved as received.

• Financial Support only for ________ Meal(s) $500 ea. = $___________

• Financial Support only for ________ Daily Snack(s) $300 ea. = $___________

Other Financial Support RYLA is lead by a completely Volunteer Staff made up of returning Camper Alumni. Please consider also making a contribution to college scholarships awarded, as available, to our amazing staff.

• Donations for ______RYLA Staff Scholarship(s) THANK YOU! $500 ea.= $____________

• Misc. Financial support of RYLA (write in amount) THANK YOU ! = $____________

• Stop Hunger Now Donation (write in amount) THANK YOU! = $____________

*Other goods and/or services for RYLA 2021 direct inquires to Barbara Najera, Camp Director (512)934.3764

Please make all checks payable to Rotary District 5870

Amount of check enclosed: Total: $_______________Name of Club: _________________________________________________Date: _____________________________________ RYLA Coordinator Name: __________________________________Signature ______________________________________ Coordinator Phone Number: ______________________________EMAIL: _________________________________________

• The Due date for return of this form is January 5, 2022. No forms will be considered after this date.• Refund requests must be in writing to Barbara Najera

By March 31, 2022—100% less $20 processing fee (e-mail date or postmark) By April 30, 2022—50% less $20 processing fee (e-mail date or postmark) NO REFUNDS after April 30, 2022

Please mail completed forms & checks to:

Jennifer Pakenham, RYLA Registrar

1101 Swenson Farm Blvd.Pflugerville, TX 78660

[email protected]

2021-2022 Club Sponsorship Form

Questions? Please contact:

Barbara Najera, RYLA Director

Rotary Club of Pflugerville

(512) [email protected]

• RYLA Alumni Program (write in amount) THANK YOU! = $____________