Camp RYLA Application

Since you are a member of RYLA Jr. Staff, please use Rotary District 6930 as the sponsoring club and Toni Wiersma, wiersmatoni@gmail.com for the contact below.

The physical, sexual or emotional abuse of harassment of any student will not be tolerated. All allegations of abuse or harassment will be taken seriously. The safety and well-being of students will always be the first priority.

Definitions:

Sexual abuse: Sexual abuse refers to engaging in implicit or explicit sexual acts with a student or forcing or encouraging a student to engage in implicit or explicit acts alone or with another person of any age of the same sex or opposite sex. Additional examples of sexual abuse could include, but are not limited to: non-touching offenses, indecent exposure, exposing a child to sexual or pornographic material.

Sexual harassment: Sexual harassment refers to sexual advances, requests for sexual favors or verbal or physical conduct of a sexual nature. In some cases, sexual harassment precedes sexual abuse and is a technique used by sexual predators to desensitize or groom their victims. Examples or sexual harassment could include, but are not limited to: sexual advance, sexual epithets, jokes, written or oral references to sexual conduct, gossip regarding one's sex life, and comment about an individual's sexual activity, deficiencies or prowess: verbal abuse of a sexual nature: displaying sexually suggestive objects, pictures or drawings: an sexual leering or whistling, any inappropriate physical contact such as bruising or touching, obscene language or gestures and suggestive or insulting comments.

If sexual abuse or harassment should occur, the Camp RYLA committee will follow the RYLA Sexual Abuse and Harassment Allegations Reporting Guidelines as established by Rotary International.

I have read and agree to conform to the above code of conduct, conditions and expectations. Should my conduct be considered unacceptable at any time in the opinion of the Camp RYLA Committee. I understand that I will be dismissed from Camp RYLA and sent home at my parents or guardians expense.

I understand that:

1. I have made a commitment to attend Camp RYLA from May 2-5, 2024 and will notify my sponsoring Rotary Club immediately if a conflict arises.
2. I may not arrive late or leave RYLA earlier than scheduled.
3. I will be on time and attend all meals meetings and activities scheduled for my group.
4. I have a duty and a responsibility as a leader to report immediately any inappropriate acts or conduct that i personally observe by and or between my fellow Camp RYLA attendees to the Camp RYLA Chair.
5. I MUST SLEEP IN THE CABIN WHICH IAM ASSIGNED. Lights out is at the scheduled time. When lights are turned off I will be quiet thereafter and not leave my cabin unless in an emergency.
6. Males are not allowed in female cabins and vice-versa.
7. Phones are permitted only during scheduled recreation times breaks or while in your cabin. If used at other times they will be confiscated and returned at the end of the conference.
8. Recreation activities are limited to those periods of the day and evening scheduled.
9. If any person is injured or becomes ill, I WILL NOT MOVE THEM. I will contact a member of the Camp RYLA Committee immediately.
10. I will report any damage or breakage immediately to the CAMP RYLA Committee.
11. SMOKING IS PROHIBITED. No exceptions.
12. ALL MEDICATIONS, whether prescribed or "over the counter", must be identified on the container. Unidentified medications, alcohol, weapons, or tobacco products found in the possession of any student will be confiscated and the student will be expelled from Camp RYLA.
13. Foul or abusive language (including anything of a discriminatory nature) will not be tolerated, Nor will physical violence or threats of any kind be allowed. If I observe such behavior, it will be my responsibility to contact a member of the Camp RYLA Committee immediately.
14. Any sexual or lewd misconduct by and/or between myself and other participants will be considered unacceptable behavior.
15. I may not leave the camp area without the permission of the Camp RYLA Committee Chair.
16. Confidentiality is important. Anything shared by a member of your group should remain in that group. However, the Camp RYLA committee members are mandated by law to report any suicide or abuse issues to the proper authorities.
17. I am to conduct myself in all sessions, in all activities, in the dining hall, in classrooms, in sports, and in my cabin in a manner which will bring credit to myself, my school, my sponsoring Rotary Club and my family, and in a manner, which will not cause injury to another person.

I have read the Statement of Leadership Responsibility and do hereby agree and commit to honoring them.

SHOULD MY CONDUCT BE CONSIDERED UNACCEPTABLE AT ANY TIME BY THE DISCRETION OF THE CAMP RYLA COMMITTEE, OR SHOULD I TRANSGRESS ANY OF THE CODES STATED ABOVE, I UNDERSTAND THAT I WILL BE DISMISSED FROM CAMP RYLA AND WILL BE SENT HOME AT MY PARENTS OR GUARDIANS EXPENSE.

PARENTAL AUTHORIZATION: I do voluntarily consent to said minor's participation in all activities of the Rotary Youth Leadership Awards. Camp RYLA to be held at the Elks Youth Camp, Umatilla, FL May 2-5, 2024. I assume responsibility for any medical or treatment fees or costs incurred directly or indirectly because of said minor's participation. I also authorize the representative(s) of Rotary District 6930 to arrange for professional care and treatment in case of a medical emergency. I hereby give my permission to the physician selected by the Rotarian(s) to hospitalize, secure professional treatment for and/or order injections, anesthesia, and/or surgery for the minor name above. RELEASE, ASSUMPTIONS of RISK and AGREEMENT TO HOLD HARMLESS: In consideration of the sponsoring Rotary Club, Rotary International District 6930, Rotary International, I permit my child to participate in the RYLA Leadership Camp and to engage in all said activities related to the camp's activities. I hereby assume the risk associated with participation and agree to hold the Florida Elks Youth Camp Inc., my representatives, and volunteers harmless from any and all liabilities, actions, causes of action, claims or demand of related to the RYLA camp. The terms here shall serve as a Release and the assumption of the risk for my child, his or her heirs, estate, executor, administrator, and assignees as well as members of my family. I grant Rotary District 6930 and the sponsoring Rotary Club permission to use the image of the above named minor for educational and promotional purposes. In addition, Rotary District 6930 may contact the named minor regarding other rotary programs including, but not limited to, interact, Rotaract, speech contest, musical performance contest, and scholarship opportunities.