Close Up American Samoa Youth Summit 2026 Enroll

Close Up American Samoa Local Youth Summit 2026

Please complete the form below to enroll and participate in the Close Up American Samoa Local Youth Summit with your school, taking place October 5-8, 2026 at the LOCATION where you will learn about the structure of local government as well as write policy proposals to present to your legislators.

Student Name(Required)

Phone

Personal Student Email(Required)

Date of Birth

Parent/Guardian Name(Required)

Parent/Guardian Email(Required)

Parent/Guardian Cell Phone

School Name(Required)

Student School Email(Required)

Teacher's Name(Required)

Teacher's Email(Required)

Grade Level(Required)

Do you have difficulty with mobility that requires assistance to walk such as a wheelchair, crutches or cane?(Required)

Yes

Are you deaf or hard of hearing?(Required)

Yes

Close Up will take reasonable measures to assist with dietary needs, however, Close Up cannot control or guarantee the contents of food products or cross-contamination. Participants with dietary allergies are ultimately responsible for inspecting all food for ingredients related to the allergy. We have adopted a nut-free policy meals. Close Up provides vegetarian options at each meal to accommodate Kosher, Halal and vegetarian dietary needs.

Other (please explain)

Is the participant 18 years of age or older at the time of signing this agreement?(Required)

Yes

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Adult Terms(Required)

I have read and agree to the Student Terms and Conditions.

Parent/Guardian Name(Required)

Parent/Guardian Initials(Required)

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Arlington, VA 22203

703-706-3300 or 800-CLOSE UP

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