The Joffrey Ballet & Northwestern Medicine's "Dancing with Parkinson's Summer Session 2024 at South Loop

The Joffrey Ballet & Northwestern Medicine's "Dancing with Parkinson's Summer Session 2024 at the South Loop

Registration Page
Welcome to the registration page for the Summer Session of Dancing with Parkinson's at our South Loop Location! We will be accepting 35 participants for class at this time. Registration will close and a waitlist will open if/when class reaches capacity.
CLASS DETAILS
- Our DwP Lake Forest Summer Session will run for two weeks from August 6th through August 15th.
- Class will take place on Tuesdays and Thursdays from 11:30-12:30pm.
  - August 6th and August 8th, classes will take place at the Joffrey Ballet South Loop Studios (1920 S Wabash Ave).
  - August 13th and 15th, classes will take place at the Joffrey Tower (10 E Randolph St).
- You are welcome to register yourself, as well as a family member, friend, or caregiver. Please only register a family, friend, or caregiver if they will actually take class with you.
  The first half of class is seated. All participants have the option to stand halfway through class, but you are welcome to stay seated for the whole duration of class.
- Feel free to wear clothes that you feel best moving in. The flooring is rubber, so socks are recommended for ease of movement. However, you are welcome to wear light sneakers if that is more comfortable.
THIS FORM IS FOR CLASSES AT OUR SOUTH LOOP LOCATION. If you would like to register for our Lake Forest location, you can do so AT THIS LINK.
PARTICIPANT INFORMATION
Full Name of Participant*

First NameLast Name
Full Name of Supporting Participant (family, friend, carepartner, etc). Only include someone IF they will be taking class with you.

First NameLast Name
Participant Email*
example@example.com
Participant Age*
Class will run for through Tuesdays/Thursdays the first and second full weeks of August. Please indicate below which dates you WILL be able to attend class:*

Tuesday, August 6thThursday, August 8thTuesday, August 13thThursday, August 15th
How did you hear about this program?
FORMS
Please read through the Joffrey Ballet Community Engagement's 'Release of Liability' below:
Please read through the Joffrey Ballet Community Engagement's 'Media Release' below:
Please read through Northwestern Medicine's 'Media Release' below:
SIGNATURE

By signing below, I agree to the terms of registration and the Joffrey Ballet Community Engagement's 'Release of Liability', the Joffrey Ballet Community Engagement's 'Media Release', and Northwestern Medicine's 'Media Release'.
Participant Signature*

Clear
While I signed above, I do not consent to the Media Release's above and request to not be in any media (photos, videos, interviews, etc) regarding this class.

(check if you do not consent to the Media Release's above)
Should be Empty:

The Joffrey Ballet & Northwestern Medicine's "Dancing with Parkinson's Summer Session 2024 at the South Loop

CLASS DETAILS

PARTICIPANT INFORMATION

FORMS

SIGNATURE