Supporter EOI | RYLA 9790

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This Expression of Interest to be a supporter at the District 9790 Rotary Youth Leadership Award should only take you about 10 minutes to complete. We collect this information to help us contact you and gather specific details to select the supporter team. Please note that filling out this form and attending training does not necessarily mean that you will be selected to be a Supporter at RYLA. Supporter selections will be made based on the needs of the conference. In selecting Supporters the RYLA committee may consider your past experience with RYLA (with Succession Planning in mind), the number of training hours/sessions you have attended, demographics of the entire Supporter and RYLArian team, and anything else the committee considers relevant.

Have the following information available to complete the EOI:

Your personal information including contact details
What you are currently doing for work and if you are contributing to your community – describe what you do
Your t-shirt size

The information is collected to assist with the RYLA application process and management of the conference. Further details about how we use your personal information is provided at the end of this form and on our website.

First name*

Surname*

Preferred name

Date of birth*

Day

Month

Year

Pronouns*

She/Her

He/Him

They/Them

Prefer not to answer

Other

Gender*

Woman or female

Man or male

Non-binary

Prefer not to answer

Other

For more information about pronouns and why we are asking, see: Minus18

Address*

Street Address City State Post Code Country

Email*

This email will be used for confirmation and communication.

Mobile Phone*

We may contact you by phone or text to confirm your availability.

Do you have any of the following certifications?

Up to date First Aid

Asthma training (additional from first aid)

Anaphylaxis training (additional from first aid)

Mental Health First Aid, Psychological First Aid or similar

For Supporters, the dates for the RYLA 2023 Conference are from the Saturday, 18th to the Sunday, 26th November 2023. Please note the factors impacting selection of Supporter Team: number of training hours/sessions you attend, number of tasks you complete and the number of RYLArians we have (more RYLArians = more supporters so please help by telling your mates and enemies). We always appreciate testimonials about your experience of our week, if you are happy to share, please send them to logistics@ryla9790.org.au.

Preparation days/ dates you are able to attend:

For you to be selected as a supporter, it is essential that we see commitment of time and effort from your end. Even if you have supported in the past, every preparation day is an opportunity to form new team dynamics and work together.

29th and 30th July (2 Days)

26th and 27th August (2 Days)

To be confirmed (1 Day) A weekend day between Sept & November

Tasks I commit to completing to help more RYLArians come to RYLA

The more people we have attending the more supporters we can have!

Attend a meeting of your sponsoring Rotary Club to promote RYLA (note that many are now meeting online)

Talking about RYLA to your friends (referal: ryla9790.org.au) AND introducing them to a Rotary Club

Sending through a “testimonial” for the RYLA website

About you

What year you were a RYLArian?*

Describe what are you currently doing in relation to work or study.*

Describe what volunteer or other community work you are involved in.*

This can include anything we discuss at Community Night (e.g.: Rotary stuff, SES, sporting associations…)

What are your goals for the RYLA conference?*

What do you want to achieve by coming along?

What skills and characteristics can you bring to the RYLA team?*

Shirt size

We sometimes provide a shirt to our RYLA participants. Please select the size you need from one in the table below. If your size is not listed, please contact us.

Feminine shirt cuts:

	8	10	12	14	16	18	20
Chest	43.5	46	48.5	51	53.5	56	58.5
Length	62.5	64.5	66.5	68.5	70.5	72.5	73.5

“All gender” shirt cuts:

	2XS	XS	S	M	L	XL	2XL	3XL	4XL	5XL	6/7XL	8/9XL
Chest	48.5	51	53.5	56	58.5	61	63.5	66	68.5	71	76	81
Length	64.5	67.5	70.5	73	75.5	78	80.5	81.5	82.5	83.5	85.5	86.5

Shirt cut*

Select your preferred shirt cut.

Feminine

All gender

Feminine shirt size

All gender shirt size

Consent

Please read and agree to the following rules and conditions. Please note that many of the rules and conditions are for health and safety reasons.

RYLA EOI and conference terms*

I agree to:
• Abide by the guidelines set by the RYLA committee and the Doxa Youth Foundation
• Not take or consume alcohol and/or drugs of addiction at the Doxa Malmsbury Camp

I understand that:
• Rotary and Doxa strive to create a positive and fun experience for all events and unacceptable behaviour such as bullying, abusive language, negative attitudes as well as possession or use of illegal substances will not be tolerated
• I may be evicted from the conference due to misconduct at the discretion of the RYLA committee and Doxa. Transport home will be at my own cost.
• Mobile phone reception is very poor at Doxa Malmsbury for all providers, including Telstra

I agree to the RYLA EOI and Conference Terms.

Release and Indemnity*

I, the above named applicant of the above address am aware and acknowledge that participating at the Rotary International District 9790 Rotary Youth Leadership Award (RYLA) involves inherent risks, including the risk of injury to life or death and damage to property and in undertaking such activities, I do so at my own risk.

I am also aware that it is a condition of participation at RYLA that the Doxa Youth Foundation (Doxa) and Rotary International (Rotary), their officers and employees, agents and volunteers are released by me from all liability howsoever arising from injury or damage to both property and person howsoever caused (whether fatal or otherwise) arising out of my participation at RYLA whether or not such injury or damage is due to any negligent act, breach of duty, default and/or omission on the part of Rotary, its officers and employees, agents or volunteers.

I indemnify Doxa and Rotary, their officers and employees, agents and volunteers against all loss, damage and expenses (including legal costs on a solicitor and own client basis) arising out of or in connection with any claims, actions, proceedings or demands of any kind arising directly or indirectly as a consequence of my participation at RYLA.

In the case of an emergency I authorise Doxa and/or Rotary, where I am unable to be consent, to arrange for me to receive medical or surgical treatment as deemed necessary. I also consent to undertake any payments or reimburse costs which may be incurred for medical attention, ambulance transport and medication while I am in Doxa and/or Rotary’s care.

I acknowledge and agree that my participation at RYLA is as a consequence of my own free will and desire and that I have read and understood the above warning, release and indemnity.

I warrant that I am 18 years of age or older and am lawfully able to enter into this above release and indemnity.

I agree to the Release and Indemnity.

Privacy statement*

Rotary International District 9790 (Rotary) and the Doxa Youth Foundation (Doxa) will collect and store the information you voluntarily provide. The information will be stored in a manner so that it will only be accessed by authorised Rotary Volunteers and Doxa staff, and subject to privacy restrictions. The information is collected to assist with the RYLA application process and management of the conference. Some of this information will also be provided to Rotary Clubs to provide sponsorship for your place at the conference and to medical professionals where necessary.

Rotary and Doxa are committed to protecting the privacy and confidentiality of your personal information. Our privacy policies adhere to the National Privacy Principles, as required under the Privacy Act 1988. A copy of our privacy policies are available online at https://ryla9790.org.au/privacy/ and http://doxa.org.au/privacy-policy/.

We use Microsoft 365 to collect and store your information; for information about the security of Microsoft 365 see: Privacy at Microsoft.

I agree to the privacy statement.

Media consent

Rotary International (Rotary) and the Doxa Youth Foundation (Doxa) would like your consent to take photos and/or video you at the Rotary Youth Leadership Awards conference.

During the event you may be photographed or videoed in activities such as:
• attending this program or event
• talking about the program listed above

Consent is when you agree to something.

You are giving us consent to use these photos or video:
• on our websites and social media
• in information or advertising about the Doxa Youth Foundation and/or Rotary International
• in newsletters or other communications to the public

Your privacy
Photographs and film of a person that may be capable of identifying the person may constitute a collection of ‘personal information’ under Australian privacy law. Rotary and Doxa values the privacy of every person and must comply with Australian privacy law when collecting and managing all personal information.

Ownership and Reproduction
Copyright in the images will be wholly owned by Rotary and Doxa. This means that Rotary and Doxa may use the images in the ways described in this form without notifying, acknowledging or compensating you.

What you are agreeing to
• you have read this information
• you give us consent to take photos or video of you
• you understand that we may use the photos or video of you in the ways we list above
• your consent starts from the date you submit this form.

Withdrawing your consent
If you want us to stop using the photos or video of you, you must tell us by emailing info@ryla9790.org.au and info@doxa.org.au.

We will not use them again, but we may not be able to remove them from things that have already been published.

I agree to the media consent.

Signature*

Please sign here that you have read and accept the RYLA EOI and Conference Terms, Release and Indemnity, Privacy Statement, and Media Consent.

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