Sunflower Rev It Up for Parkinson’s Symposium

Sunflower Rev It Up for Parkinson’s Symposium 2024

Thank you for your interest in our free, educational event for patients, families and caregivers affected by Parkinson’s disease. To register, please fill out and submit the following information.
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Lunch Option

Turkey Boxed LunchVegan Boxed LunchGluten Free Boxed Lunch
Are you registering any guests?*

Guest 1

First NameLast Name
Guest 1 Lunch Option

Turkey Boxed LunchVegan Boxed LunchGluten Free Boxed Lunch
Guest 2

First NameLast Name
Guest 2 Lunch Option

Turkey Boxed LunchVegan Boxed LunchGluten Free Boxed Lunch
Guest 3

First NameLast Name
Guest 3 Lunch Option

Turkey Boxed LunchVegan Boxed LunchGluten Free Boxed Lunch

Thank you for your information. If you have questions, please contact Lori Selm at lori.selm@uchealth.com.
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