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Register for the walk

Use this area to register for the Tiptoe through the Tulips Parkinson Walk, send us info, make special inquiries, request info or brochures, etc...

What would you like to do? (Please check all that apply.)

I'd like additional information by Email:
I have a few comments or questions:
Place questions or comments here.
Please notify me of all Parkinson events:
I would like to provide my reviews and opinions:
I'm interested in info about becoming a volunteer:
Please inform me of the next support meeting:
Your Contact Info:
Your Email:
Your Phone: Required
First Name: Required
Last Name: Required
Please add me to your newsletter:

Registration Fee is $25.00

( The first 300 to register will receive a Walk Tee Shirt)