I give my permission for my child to participate in the Leadership Arlington Youth Program. Upon notification of acceptance into the program, I will pay Leadership Center for Excellence the agreed upon tuition fee. I understand that scholarships are available, and no student accepted into the program will be turned away for financial reasons. For more information, contact Miya Furukawa, Events & Programs Coordinator, at email@example.com or 703-528-2522, x21.
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4420 N. Fairfax Drive, Suite 102, Arlington, Virginia 22203
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