2025 Civic Leaders Summer Academy Registration

Congratulations on your acceptance to the 2025 Civic Leaders Academy from June 23 -27, 2025. The Close Up Foundation is conducting this program in partnership with Prince George's County Public Schools (PGCPS).

The Academy will run from 9am-4pm (Monday - Friday) June 23 – 27, 2025. There will be multiple pick up and drop off locations at high schools throughout the county for bus transportation. There will also be an option to bring students directly on site. Students will be required to be dropped off no later than 9:00am.

If you have any questions, please contact us at PGcounty@closeup.org. For more information, a look at the tentative schedule, and frequently asked questions visit: www.closeup.org/pgcps

Student Name(Required)

Student Personal Email(Required)

School(Required)

Which program will you be attending?(Required)

Please select your Pick-up/Drop-off location below. Pick-up/Drop-off location must remain consistent for all 5 days of programming. A bus and Close Up team member will meet students at their selected location prior to the program start time depending on selected location. Students will not be granted access into the school. Students are expected to be picked up within 30 min of arrival back at the pick-up location.

Pick-up/Drop-off Location:(Required)

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

Yes

Do you need Close Up to provide a wheelchair for you while on program? Please note, Close Up staff cannot push participants in wheelchairs.(Required)

Yes

Will you bring your own wheelchair on program?(Required)

Yes

I require a lift bus.(Required)

Yes

Other than glasses or contacts for corrective vision, are you visually impaired?(Required)

Yes

Are you deaf or hard of hearing?(Required)

Yes

Do you have a disability, history of seizures, or any physically debilitating ailments?(Required)

Yes

Do you need any additional accommodations to participate in the program?(Required)

Yes

Please describe any food allergies or mandatory diet restrictions below.

If you have questions about or requests for special medical needs, contact Sharon at 800-256-7387.

Parent/Guardian Name(Required)

Parent/Guardian Email(Required)

Parent Guardian Phone(Required)

Parent Consent(Required)

I, the parent or guardian of the student participant, confirm and acknowledge that I have read and agree to the Terms and Conditions.

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PGCPS & Close Up Foundation - 2025 Civic Leaders Summer Academy