Parkinson's IQ + You

Southern California Registration

The Michael J. Fox Foundation for Parkinson's Research invites you to our free educational event for people with Parkinson's and their loved ones. Join us in Carlsbad, CA on September 21, 2024 at the Omni La Costa Resort & Spa.

This event is fully accessible and is designed for people at every stage in their journey with Parkinson's. To ensure a spot, we encourage early registration by filling out the form below. For more information, please visit our website.

First Name

Last Name

Birth Month

Birth Day

Birth Year

ZIP code

What is your primary connection to Parkinson's disease (PD)?

What Year Were You Diagnosed with PD?

Do you provide care for someone with PD?

How did you hear about this event?

Will this be your first in-person Parkinson’s educational event?

YesNo

Would you like to receive email communications from The Michael J. Fox Foundation?

YesNo

There will be multiple Q&A sessions throughout the program. Do you have a question you would like to submit in advance?

We are providing Spanish-language translation services at this event. If you or any additional people attending in your party would benefit from live translation, please let us know how many headsets to reserve.

Please take a moment to answer the following questions that will help us better understand the diversity of Parkinson’s disease and to help foster inclusion within the community. These questions are entirely optional. Feel free to skip any questions you’d rather not answer.

What is your race or ethnicity?

Please provide details

Sex at birth:

How do you live your life day to day?

Please specify:

Which of the following best represents how you think of yourself?

Please provide details

Contact Information