Music and Health Institute

In-Person Registration Form: The Intersection of Music and Psychedelic-Assisted Therapy

This is a registration form for in-person attendance at our upcoming Music and Health Exchange event. If you are not able to attend in person, please use this form for virtual registration.

Name

Affiliation

Do you have any dietary restrictions?

Do you have any accessibility needs you want us to know about?

Do you want to hear about upcoming events at the Berklee Music and Health Institute? We send a newsletter approximately once a month. We will never share your email.

Yes

Do you grant Berklee permission to photograph and livestream your participation in the Intersection of Music and PAT Exchange? Such recordings may be broadcast, distributed, or displayed electronically via the internet, hard copy, or other media, and they may be used for educational, archival or other communications purposes.

Yes

If you answered "Yes" above, please write your name here.

What color is the sky?

Hint: It's "blue"

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.