Montgomery Youth Summit Registration

Please complete the form below to register and pay the $1,865 deposit to secure your school’s spot. We’ll follow up to confirm your cohort size and share enrollment details. Please note that a faculty advisor must accompany students and attend the concurrent Educator Summit.

We look forward to having your students join us! If you have any questions, please reach out to us at programsupport@closeup.org.

Name(Required)

School Name(Required)

Position/Title(Required)

Email(Required)

Phone(Required)

I will be responsible for coordinating the student experience.(Required)

Yes

Coordinator Name(Required)

Coordinator Position/Title(Required)

Coordinator Email(Required)

Coordinator Cell Phone(Required)

School Address(Required)

Please select how many students from your school will be attending the Montgomery Youth Summit.(Required)

Please select how many adults from your school will be attending the Montgomery Youth Summit.(Required)

Product Name(Required)

Deposit Total

Invoice

Schools and organizations may choose to pay by check. Check here to skip the payment section and we will send you an invoice for payment.

Non refundable(Required)

I acknowledge that the deposit and all tuition payments are non-refundable.

Credit Card

American Express

Discover

MasterCard

Visa

Billing Address(Required)

Texting

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