November 12 Chinese Program APDA November 12 Chinese Program 11/12/26 Chinese Program Name First Last Email Phone Country Phone Number Are you registering as:A person living with Parkinson’s diseaseA caregiver/family memberA healthcare professionalA community memberOtherOtherPreferred language:Mandarin ChineseEnglishOtherOtherWill you be attending with a family member/caregiver? If yes, will they also be registering separately?Do you have any dietary restrictions or food allergies?Do you require any accommodations to participate in the program? If yes, please describe.How did you hear about this event?