Register — Pickleball for Parkinson's of Connecticut

Tell us about yourself

We'll use this to check you in on the day of your session.

First Name *

Please enter your first name.

Last Name *

Please enter your last name.

Email *

Please enter a valid email.

Phone *

Please enter your phone number.

Town / City *

Please enter your town or city.

When were you diagnosed with Parkinson's? *

Choose the year you received your PD diagnosis.

Please select the year you were diagnosed.

A few quick details

These help us adapt the session to you — and keep you safe on the court.

Pickleball Experience

Current Mobility Level *

If you selected “some limitations,” please add more detail in the notes below.

Please choose an option.

Emergency Contact Name

Emergency Contact Phone

Optional but recommended for on-court sessions.

Anything we should know?

I understand that physical activity carries inherent risk and agree to the liability waiver. * Send me program reminders and the monthly newsletter.

A few quick details

Tell us where you'd like to help and what you bring to the court.

I am registering as a… *

Please choose an option.

Pickleball Experience

Association with Parkinson's *

Please choose an option.

Anything else you'd like us to know?

I understand that volunteering on-court carries inherent risk and agree to the liability waiver. * Send me volunteer opportunities and the monthly newsletter.

Review & submit

Double-check your details, then we'll send a confirmation to your email.

Step 1 — Done

You're registered with P4PCT!

Confirmation sent to — for —.

Back to Home Support Our Mission

Join a Program or Event

Tell us about yourself

A few quick details

A few quick details

Review & submit

Register at Dill Dinkers

Before you continue

Switch programs?

Please confirm the waiver