617Peak Program Sign Up (Wednesdays @ C.A.S.H 3pm-6pm)
Please note that the weekly workshops will take place at Community Academy of Science and Health located at 11 Charles St, Boston, MA, 02122, every Wednesday from 3-6 pm, starting from October 4th and continuing until Winter Break. 

After filling out this form, you will be sent an email with a permission slip that must be signed in order to participate along with more information about our program and events!

If you have any questions, please contact:
Echezona Onwuama / eche@617Peak.org
Ikenna Ndugba / contact@617Peak.org 
Amanda Shea / ahsea@617Peak.org

DM @617Peak on Instagram or Twitter
Sign in to Google to save your progress. Learn more
Email *
Name: (First and Last) *
Preferred Pronouns
Date of Birth: *
MM
/
DD
/
YYYY
Phone Number  *
School *
Graduation Year *
Intended Major, School (High-school Juniors and Seniors) *
(If you are not sure, answer TBD)
Referred by: *
Home address: *
Mailing Address (void if same as home address)
Race: *
Music Industry Area of Interest: *
Required
Instagram Handle (@): *
What do you hope to learn by joining 617Peak? *

How are you currently using your education to pursue your creative interests/career? (i.e music, poetry, visual arts, story telling, etc)

 *
Anything we should know?
Optional links: performances, videos, poems, songs, etc.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This form was created inside of 617Peak. Report Abuse
Google Forms