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pac@parkinsonassociation.org
About
About
Meet the PAC Team
Join Our Team
Contact Us
Understanding Parkinson’s
What is Parkinson’s disease?
Diagnosis & Symptoms
Treatment & Therapies
Maintaining Quality of Life
Parkinson’s Disease Glossary of Terms
Make an Impact
Donate Now
Ways To Give
Volunteer Opportunities
Potential Speakers Interest Form
Community Involvement
Our Partners
Get Help and Support
Find a Movement Disorder Specialist
Programs and Services
Exercise and Movement Classes for Parkinson’s Disease
Support Groups
Therapy and Rehabilitation Services
Additional Parkinson’s Resources
Parkinson’s Disease Care Partner Resources
Events
PAC Exercise and Movement Therapy Calendar
PAC Support Groups
Wellness Wednesday
Education Events
Signature Symposium
Care Partner Summit
MoveIt Walks
News
pac@parkinsonassociation.org
(980) 245-2786
Join Our Newsletter
Donate Now
(980) 245-2786
Donate Now
About
About
Meet the PAC Team
Join Our Team
Contact Us
Understanding Parkinson’s
What is Parkinson’s disease?
Diagnosis & Symptoms
Treatment & Therapies
Maintaining Quality of Life
Parkinson’s Disease Glossary of Terms
Make an Impact
Donate Now
Ways To Give
Volunteer Opportunities
Potential Speakers Interest Form
Community Involvement
Our Partners
Get Help and Support
Find a Movement Disorder Specialist
Programs and Services
Exercise and Movement Classes for Parkinson’s Disease
Support Groups
Therapy and Rehabilitation Services
Additional Parkinson’s Resources
Parkinson’s Disease Care Partner Resources
Events
PAC Exercise and Movement Therapy Calendar
PAC Support Groups
Wellness Wednesday
Education Events
Signature Symposium
Care Partner Summit
MoveIt Walks
News
About
About
Meet the PAC Team
Join Our Team
Contact Us
Understanding Parkinson’s
What is Parkinson’s disease?
Diagnosis & Symptoms
Treatment & Therapies
Maintaining Quality of Life
Parkinson’s Disease Glossary of Terms
Make an Impact
Donate Now
Ways To Give
Volunteer Opportunities
Potential Speakers Interest Form
Community Involvement
Our Partners
Get Help and Support
Find a Movement Disorder Specialist
Programs and Services
Exercise and Movement Classes for Parkinson’s Disease
Support Groups
Therapy and Rehabilitation Services
Additional Parkinson’s Resources
Parkinson’s Disease Care Partner Resources
Events
PAC Exercise and Movement Therapy Calendar
PAC Support Groups
Wellness Wednesday
Education Events
Signature Symposium
Care Partner Summit
MoveIt Walks
News
Registration for the 2026 Symposium
2026 Symposium Registration Form
Name
(Required)
First
Last
Address
(Required)
Mailing Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
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Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP / Postal Code
Email
(Required)
Phone
(Required)
How are you connected to the Parkinson Association of the Carolinas? (check all that apply)
(Required)
Person with Parkinson’s Disease
Spouse/Care Partner
Adult Child of a Person with Parkinson’s
Other Family Member
Other Caregiver
Speaker
Sponsor
Volunteer
Attendee Breakout Session #1
(Required)
Go Big & Reclaim Movement: Understanding LSVT BIG and PWR Moves
Parkinson’s Advocacy: Your Voice. Your Story. Your Impact.
YOPD: Living Beyond the Diagnosis
Care Partner Session, topic to be announced
Pick One Session. Please select the first breakout session you would like to attend.
Attendee Breakout Session #2
(Required)
Go Big & Reclaim Movement: Understanding LSVT BIG and PWR Moves
Parkinson’s Advocacy: Your Voice. Your Story. Your Impact.
YOPD Support Group
Care Partner Session, topic to be announced
Pick One Session. Please select the first breakout session you would like to attend.
Do you need to register additional people?
(Required)
Yes
No
How many additional people do you need to register?
1
2
3 or more
Name
First
Last
What is their connection to the Parkinson Association of the Carolinas? (check all that apply)
Person with Parkinson’s Disease
Spouse/Care Partner
Adult Child of a Person with Parkinson’s
Other Family Member
Other Caregiver
Speaker
Sponsor
Volunteer
Name
First
Last
What is their connection to the Parkinson Association of the Carolinas? (check all that apply)
Person with Parkinson’s Disease
Spouse/Care Partner
Adult Child of a Person with Parkinson’s
Other Family Member
Other Caregiver
Speaker
Sponsor
Volunteer
Name
First
Last
What is their to the Parkinson Association of the Carolinas? (check all that apply)
Person with Parkinson’s Disease
Spouse/Care Partner
Adult Child of a Person with Parkinson’s
Other Family Member
Other Caregiver
Speaker
Sponsor
Volunteer
Additional Attendee Breakout Session #1
Go Big & Reclaim Movement: Understanding LSVT BIG and PWR Moves
Parkinson’s Advocacy: Your Voice. Your Story. Your Impact.
YOPD: Living Beyond the Diagnosis
Care Partner Session, topic to be announced
Pick One Session. Please select the first breakout session you would like to attend.
Additional Attendee Breakout Session #2
Go Big & Reclaim Movement: Understanding LSVT BIG and PWR Moves
Parkinson’s Advocacy: Your Voice. Your Story. Your Impact.
YOPD Support Group
Care Partner Session, topic to be announced
Pick One Session. Please select the first breakout session you would like to attend.
How did you hear about this event?
(Required)
Email Announcement or Invitation
Parkinson Association of the Carolinas website
Social Media
From my doctor
From a friend
Other
What do you hope to gain from this event?
(Required)
Do you have any questions for the Parkinson's treatment panel presentation?
Please select any dietary restrictions for either attendee. Breakfast and lunch will be provided.
Food Allergies
Gluten Free
Vegetarian
Other
If you selected "Food Allergies" or "Other," please specify the dietary restriction.
Would you like to sign up for emails from the Parkinson Association of the Carolinas? If so, choose your preferences below. (select all that apply)
(Required)
Monthly Newsletter: Sent on the 1st of the month with educational resources, events, exercise classes, and news
Programs & Events: Info about exercise classes, webinars and support groups, other in-person and virtual events
Donor & Fundraising Communications: Financial giving opportunities
Volunteer Opportunities
Photo/Media Release
(Required)
All participants and attendees grant the Parkinson Association of the Carolina permission to photograph, video record, and/or otherwise capture their likeness. Photos, videos, and other media may be used for educational, promotion, and information purposes without payment or consideration. This may include use in print or digital format, including social media, website, newsletter, and other communications. It is understand and agree to that these materials are the property of the Parkinson Association of the Carolinas. Please indicate below if you agree to the photo/video release.
Yes, I agree
No, I do not agree
Is there anything else we should know?
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