Please complete the form below to register and participate in A Day of Deliberative Dialogue taking place March 12, from 8:30am-1:30pm at Miami Killian Senior High School. Through respectful dialogue, we aim to return the “civil” to public discourse. If you are under 18 years of age, this form must be completed with a parent or legal guardian.

For educational and funding reporting purposes, Close Up requests that you provide the following demographic information. Such information will remain confidential and will not be used at any time for selection or placement criteria for the Close Up programs. Please complete all items below. Your cooperation is greatly appreciated.