Register for PMDAlliance’s Online Services

We look forward to seeing you online.  Prior to joining any of our programs please complete the form below.  Please note if you will be accessing PMDAlliance’s Move It! live-stream exercise program you must also complete the waiver, also located below:

Move It!™ Waiver / Release Form

 Every individual participating in this class must sign a separate form.

By completing the form below, I hereby voluntarily indemnify, and release from liability and hold harmless the Parkinson and Movement Disorder Alliance and Move It!™ Instructors for any accidental falls, injuries, damages or other consequences suffered by me or any other person arising or resulting directly or indirectly from my participation in Move It! ™ exercise class.

I understand it is my responsibility to consult with a physician regarding participation in exercise.   In the event that I am injured, I agree to assume any and all financial obligation for any medical costs and related expenses.  Instructors and PMDAlliance assume no responsibility for any medical expenses, injury, or damage suffered by me in connection with Move It! ™

I further agree that my spouse, assignees, heirs, guardians, and legal representatives will not make any claim against, attachment to, or sue PMDAlliance or Move It!™  Instructor for any loss or damage resulting from my participation in Move It!™ class.
I am  aware that this is a release of liability and a waiver of my right to collect damages in the event of a fall or injury.  I am signing this at my own free will.