Get Registration Form

Completing the REGISTRATION FORM online is a straightforward process that ensures your participation in the Parkinson's Disease Symposium. This guide will walk you through each section of the form to make your registration easy and efficient.

Follow the steps to successfully complete your registration

1. Click ‘Get Form’ button to obtain the form and open it in your browser.
2. Provide your name and address. For convenience, you may attach an address label if desired. Ensure that this information is accurate as it may be used for future communications.
3. Enter your phone number in the designated field. This allows the organizers to contact you if necessary.
4. Fill in your email address. Make sure to input a valid email as this will be used for any electronic correspondence regarding the event.
5. Register additional participants by listing their names, hometowns, and states as they should appear on their nametags. If you have more names to include, continue on the reverse side of the form.
6. If you would like to exhibit your art, craft, or hobby, check the box and indicate the medium in which you work in the provided space.
7. Select your lunch options by indicating how many of each type you would like for your party. Choices typically include options such as Waldorf chicken salad on whole grain bread or the chef's choice vegetarian wrap.
8. Once you have completed the form, save your changes and ensure to download or print a copy for your records.
9. Mail the completed form along with a check for $15 per person made payable to “HF - APDA” to the address specified in the instructions.
10. If you have any questions during the process, do not hesitate to reach out to the contact listed on the form.

Complete your registration online today to secure your spot at the symposium!