Inspiring Civic Action Registration

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To register for Inspiring Civic Action, starting January 27th, 2021, please complete this form. If you have any questions, please contact us at classroom@closeup.org.
Teacher Name*
First Last
Teacher Email*
Phone*
School Name*
State
State
Grade Level*
How many students will be participating?*
Terms and Conditions*
- I have read and accept the Terms and Conditions.
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Participation in a Close Up program requires parent or guardian approval for any participants under 18 years of age.

671 N. Glebe Road, Suite 900
Arlington, VA 22203

703-706-3300 or 800-CLOSE UP

^{CST-1002082-40:

Registration as a seller of travel does not constitute approval by the State of California.}

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