Registration Forms

Registration Forms

All participants must have a Waiver, Physician Statement and Clearance Form, and Media Release Form on file before attending classes. Please fill out the forms below and give them to your instructor on your first day.

Parkinson’s Nebraska Physician Statement and Clearance Form

Parkinson’s Nebraska Waiver Form

Parkinson’s Nebraska Media Release Form

These forms must be completed and returned to the instructor before attending a class. Please contact Amber at with any questions about registering for the Parkinson’s Nebraska Exercise Network.