Sign Up for Parkinson's Voice & Movement Group
Please fill out contact information for the Parkinson's Voice & Movement 8 week Class via Zoom
Dates: Mondays - August 9, 16, 23, 30, - September 20, 27, - October 4, 11
Time: 1:00 PM
Step 1: Payment: Please make checks payable to: Jocelyn L. Lagier, MS CCC-SLP
Participant cost is $40 for the 8 week class. The balance of the cost of the class is being covered by a grant from The Parkinson's Foundation and other donors.
Please mail check for $40 to: Jocelyn Lagier, 26075 Dougherty Place, Carmel, CA 93923 - your registration will be complete when check has been received. You will receive a Zoom meeting link to the email address provided.
Step 2: Liability Waiver Required
Please view Liability Waiver:
Print, Sign and then mail to: Jocelyn Lagier 26075 Dougherty Place, Carmel, CA 93923 along with payment.
Step 3: Fill out information below. A confirmation email will be sent when all registration materials are received.
Date of Birth
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service