Rotary International

Rotary International District 5170



Rotary International

Youth Services Volunteer Affidavit for District 5170 Rotarians

YouthAct Interact Rotaract Youth Exchange

If your name doesn't appear in the club list or you don't receive the YSVA link within an hour,
please email the Youth Protection Coordinator (Mike Cloutier) to have him correct your record.
Be sure to include your name, Club and valid email address in the email.

Club Name: