Parkinson's Foundation

Beyond the Diagnosis - Manahawkin, NJ (in-person)

Date:

Thursday, August 11, 2022

Time:

1:00 PM - 3:30 PM

In-person Registration

Please join the Parkinson's Foundation for Beyond the Diagnosis, a free program on Thursday, August 11, 2022 in Manahawkin, NJ.

Location: Holiday Inn - Manahawkin / Long Beach Island | 151 Route 72 East
Time: 1:30 p.m. to 3:30 p.m. ET (Check-in starts at 1 p.m.)

You will receive a confirmation email containing the event details right after clicking the "Submit" button on the bottom of this page. If you do not receive the email, or have any questions, please contact Nancy Nealon at (585) 743-1266 or nnealon@parkinson.org.

If you are having trouble seeing the registration questions below, please rotate your device sideways into a horizontal position or contact us above.

We still have room for 44 guests at this event.

The reservation limit per user is 3 guests.

* = Required Fields

Attendee Information

* First Name

* Last Name

* Email

Yes, I would like to receive periodic updates and communications.

* Street 1

* City

* State/Province

* ZIP/Postal Code

Phone

Please specify the number of guests, including yourself, that will attend:

Event Preferences

Please answer the following additional questions to help us prepare for the event.

In consideration of the ability to participate, please read, understand, and accept below the Educational Program Participation Agreement.

1. Field Is Required I (we) have read and accept the terms and conditions contained in the above agreement (circle must be selected to submit this form).

I (we) accept

2. Field Is Required What best describes your connection to Parkinson's Disease (PD)?

3. If you selected Other, please specify

4. Field Is Required Are you involved with the person with Parkinson's care?

5. Please share the year of Parkinson's diagnosis

6. If you selected Healthcare Professional, please specify

7. If you selected Other Healthcare/Services Professional, please specify

8. Field Is Required Please tell us how you learned about today's program:

9. Field Is Required Which language would you prefer to hear from us in? *Please note that not all content is available in both languages. If you are interested in receiving Spanish communications, we recommend selecting "both" to stay best informed on the Foundation's work and the latest in PD news.

10. Field Is Required Are you a Veteran?

Please hit the blue "Submit" button on the bottom of this page to register. You will receive a confirmation email right after clicking it. If you do not receive the email, please contact Nancy Nealon at (585) 743-1266 or nnealon@parkinson.org.

Beyond the Diagnosis - Manahawkin, NJ (in-person)

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