PWR!Retreat Payment – Parkinson Wellness Recovery

You've reached the last step before your PWR! Retreat spot is confirmed.

Congratulations! Your registration for the Retreat is now complete. The final step is to process payment using the form below.

Please note:

Your registration will not be confirmed until payment has been made in full. To reserve your spot we suggest payment as soon as possible.
You will receive additional information to help you prepare for the PWR! Retreat after payment has been made.

We look forward to seeing you!

Retreat Payment 2026

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Comments

This field is for validation purposes and should be left unchanged.

Name*

First Last

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Email*

Enter Email Confirm Email

Phone*

Do you have an Authorization Code?*

The Authorization Code would have been provided to you after completing your Virtual Interview. If you do not have an Authorization Code you can not make a payment at this time.

Authorization Code*

This is the code provided to you after completing the Virtual Interview. If you do not have authorization code you can not make a payment at this time.

I am registering as:*

Person with Parkinson + a Care Partner*

Price:

Person with Parkinson - single room*

Price:

Person with Parkinson - sharing a room*

Price:

Coupon for partial payment

If you have spoken with PWR! staff regarding a payment plan, please enter the coupon code here and click “Apply”. The total below should reflect the amount of the payment due at this time.

Total

Credit Card Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Please list your address exactly as it appears on your credit card statement.

Secure Credit Card

Card Holder*

Card Number*

Card Expiration*

Card CVV*