Parkinson's UK : Register

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First name *

Last name *

Email address *

Password*

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Date of birth *

Gender *

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We will use your personal details to contact you about your event and in line with our privacy policy.

We'd love to stay in touch with our latest news on everything we're doing to make life better for people with Parkinson's, our support services, and other ways you can get involved with us including fundraising, campaigning, research and volunteering.

Yes, you may use my email address to contact me.

At Parkinson’s UK we want to be very clear about how we use, store and protect your personal data, which you can read about at www.parkinsons.org.uk/privacy. We will not sell your details to third parties. If you would like to change your preferences please let us know by emailing supportercare@parkinsons.org.uk, calling us on 0800 138 6593 or by writing to Parkinson’s UK, 50 Broadway, London, SW1H 0DB.

Address *

Please enter your billing address. If you live in the UK please enter your postcode. If your address is outside the UK, or does not appear upon lookup, please enter it manually.

(Click here to enter address manually)

Address line 1 *

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County

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About you

We will use the below information to contact you about your event participation. This includes: essential event logistics; important dates for your diary; information, advice and guidance on all you need to know about training and fundraising for your event; accessing resources available from us; ways to connect with others taking part in your event and your event organisers; to show you the impact and our appreciation of everything you are doing by taking part.

How did you hear about this event? *

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What has motivated you to take part? *

Your connection is: *

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I am happy to be contacted about using my story to help promote the event: *

What sector do you work in?

Organisation name

What best describes your position?

Will your employer sponsor you or match fund?

Yes No Not sure

Customise your fundraising page

Set your Fundraising Goal

£50

£50 could pay for 2 hours of a Service Improvement Adviser's time to build a business case and liaise with local NHS trusts.

£100

£100 could pay for a nurse to telephone four people living with Parkinson's, following up on recent medication changes.

£350

£350 could pay for a nurse to receive an education bursary to enhance their skills and knowledge of caring for people with Parkinson's through attending conferences and courses.

What is the name of your dog(s)? *

I do NOT wish to receive fundraising rewards (bandana, rosette and micro-fibre towel).

Terms and Conditions

I agree to the Terms and Conditions *

Walkies for Parkinson's

Joining team Sponsor dog walk

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My details

Address *

About you

Customise your fundraising page

Set your Fundraising Goal

£50

£100

£350

Terms and Conditions

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