DPA and Gold Moves Australia Registration Form

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DPA and Gold Moves Australia Registration Form

Please fill out this form for participation in Dance for Parkinson's free joint session with Gold Moves Australia Zoom meeting information will be shared once the form is submitted.

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Email *

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Full Name *

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I agree to have my details held in the Dance for Parkinson's database for contact purposes and for disseminating information regarding the program *

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Can you please provide further information?

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Any additional comments or information- please use the space below? We look forward to dancing together!

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