REGISTRATION FORM

"PARTNERING WITH POISE"

ALEXANDER TECHNIQUE (AT) BASED COURSE

FOR CARE PARTNERS OF PEOPLE LIVING WITH PARKINSON'S DISEASE

@ GRAND OAKS ASSISTED LIVING

 


Dates:  Mondays starting September 24, 2018

Location: 

Grand Oaks Assisted Living
5901 MacArthur Blvd NW
Washington, DC 20016

Time:         2:00pm-3:30pm

Cost:         Free

Registration is necessary.

The program consists of a group class meeting for 90 minutes once a week for 10 weeks. It is understood that some participants may not be able to attend every class.

This course is part of an ongoing research study through the University of Idaho. You will be sent an Informed Consent Form to review that explains everything about the study.  Then if you decide to participate you will be scheduled at your convenience for a pre-course assessment session.

If you would like to hear from others who have taken this course, video interviews from other care partners who have participated in this course may be viewed at:  https://www.vimeo.com/thepoiseproject

 

QUESTIONS?  Monika Gross, 828-254-3102

Please fill out and Submit the Registration Form & Waiver. Someone will contact you then to confirm your participation and with information about the research study.
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* PLEASE WRITE YOUR NAME BELOW TO INDICATE YOUR SIGNATURE AGREEMENT TO THIS RELEASE AND WAIVER.