AmplifyGSA Summit 2023 - Registration Form

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Join us for a day of self-expression, creating brave spaces, and developing life skills! We can’t wait to have you join us, please register for a day of…

Delicious food
Meeting other Queer people and allies in Boston
Learn about healthy lifestyles, professional skills, and how to be an ally
Workshops for Parents and Providers that work with Queer students.
Keynote by Porsha Olayiwola
Performances by Oompa, and more!

More about AmplifyGSA:
LGBTQ+ Advancement's AmplifyGSA initiative is supporting LGBTQ+ students and their allies to create safe, welcoming, and accepting school communities. AmplifyGSA promotes GSAs, builds connections across differences, and engages with LGBTQ+ Boston youth and their allies– visiting schools across the city to find out what LGBTQ+ students need to be holistically supported.

DISCLAIMER: This is only an interest form. By completing this form you are not automatically registered for the AmplifyGSA Summit. We will respond to confirm your attendance. We will only use your email to notify you of important updates regarding the AmplifyGSA Summit. We will never use your email for spam.

Email *

First Name *

Last Name *

What pronouns do you use? (she/her, they/them, he/him, ze/hir) *

Phone

You are a *

Student (under 22)

Young person (under 22), not in school

Teacher/Administrator/School Staff

Parent/Guardian/Family Member

Community Organization Representative

Adult volunteer

What neighborhood do you live in? *

Allston

Back Bay/Beacon Hill/Bay Village

Brighton

Charlestown

Chinatown/Downtown

Dorchester

East Boston

Fenway

Hyde Park

Jamaica Plain

Mattapan

Mid-Dorchester

Mission Hill

North End/Wharf/West End

Roslindale

Roxbury

South Boston

West Roxbury

Other:

What is the name of your school? *

Boston Arts Academy is in the Fenway neighborhood, accessible by bus: #8, #9, #19, #55, #60, #65 and a 15 minute walk from train stations: Kenmore, Fenway, and Ruggles.

There is extremely limited street parking.

Would a shuttle from Downtown Crossing to Boston Arts Academy help you attend the summit?

Yes

Other:

How did you hear about the summit? *

From friends

From a teacher

From a parent, guardian or trusted adult

From a community organization

From social media

From a web search (Google, etc)

I saw a flyer about it

AmplifyGSA x Celtics Pride Night PSA

From the Mayor's Office of LGBTQ+ Advancement

Other:

Required

We want to hear from YOU! What type of workshop would you like to participate in? What would be fun to do at this summit? *

We want to make sure this summit is inclusive for all GSA students! Do you have any language needs? *

We want to make sure everyone can have fun at the summit! Do you have any accessibility needs? (Including any allergies or dietary restrictions) *

A copy of your responses will be emailed to the address you provided.

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