Teen Talk Interest Form

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Welcome to Teen Talk! We meet every month to connect, educate, and support teens whose parents have been diagnosed with YOPD. Click here to learn more about us and our group!

Full Name *

Age *

City, State, and Zip Code *

Teen's Email - Where would you like us to send zoom links? If you put a parent's email here, make sure it is accessible by the teen who wants to join! *

Parent's Email - We will send meeting summaries and important information to all members and their parents. *

Please join our GroupMe! You can either download the app or use the website (we recommend the app). We will use GroupMe to share resources and updates, and have open discussion available anytime for our teens. Make sure your full name on your account matches the full name you've put in this form so we can approve members. Here's the link: https://groupme.com/join_group/105148903/oCMIvWuj

Yes, I've joined the GroupMe

I'm having some issues joining the GroupMe

I don't want to join the GroupMe (totally fine! choose Other if you'd like to let us know why)

Other:

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How long has your parent been diagnosed with Young Onset Parkinson's Disease?

Are your parents members of the YOPN?

Yes

Clear selection

What are you looking to gain from these meetings/this group?

Is there anything else you would like to share (questions, comments, concerns, etc)?

Submit

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