Specical Program Registration

Thank you for registering for Close Up’s Understanding Environmental Justice Program. Once you complete the form below, you will be directed to a payment page to finalize your registration. Then you will receive an email with more information about student registration and how to access your resources.

Name*
Email School Name
Mobile Phone Number
How did you hear about us?*
Address*
Street Address

City State ZIP / Postal Code School Name
Select Payment Type*:*

Initial here to indicate that you have read and agree to the Terms and Conditions: