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Event Registration

Please select the event you would like to participate or volunteer for below. Note, fields marked with an (*) are required to submit the form.

If payment is required, we will contact you shortly to confirm details.  Thank you. 

Event*
Payment method
User Type* Participant    Volunteer
First Name*
Last Name*
Mailing Address  
Street Name*
City*
Province*
Postal Code*
Phone Numbers  
Primary Phone No*
Secondary Phone No*
Email*
   
Please indicate weather you have special needs that we should be aware of: dietary, environmental allergies/sensitivities or mobility issues to ensure your participation at the event is safe and comfortable:
 
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Parkinson Society
Maritime Region
7071 Bayers Road, Suite 150
Halifax, Nova Scotia
B3L 2C2

Toll free: 1-800-663-2468
Phone: 1-902-422-3656
Fax: 1-902-422-3797

psmr@parkinsonmaritimes.ca
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