Parkinson's Pals Registration Form
Reach out to h.parkinsonspals@gmail.com or (516) 605-4728 if you have any questions.
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This form is an opportunity for us to get to know you and connect you with a Harvard student who has similar interests! Your information will not be shared outside of our organization, so feel free to tell us about your interests, hobbies, and background.
What is your email? *
What is your name? *
Are you filling this form out on behalf of the pal interested? *
If you responded yes to the previous question, detail your relation to the participant and provide your contact information as well.
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