PGO Class Sponsorship

PGO is proud to partner with local businesses and organizations to sponsor wellness classes so they may be offered at no-cost to Parkinson’s families.

APPLICATION GUIDELINES

Prior to beginning the application, applicants are strongly encouraged to review all groups and classes currently supported by the PGO listed under Wellness Classes and Support Groups to eliminate class duplication and scheduling overlap.

Sponsorship applications are accepted on an ongoing case-by-case basis.

Only one sponsorship request is allowed per application.

PGO usually sponsors classes at a group rate and not by the individual.

PGO does not provide any Parkinson's training courses for instructors, but financial assistance for training courses offered by external entities may be available through the Len S. Burton Memorial Scholarship.

Submitted applications will be evaluated by our Board of Directors at their next monthly meeting. Recipients will be notified via email of the board’s decision within a month of the meeting.

For questions: 417-814-6067 or info@parkinsonsgroup.org

PGO Sponsorship Application

Class Information

Class Name

Brief Description of Class

Day & Time Class will be Offered

Phone

Class Location

Classroom Size Capacity

Do you have a Commercial General Liability Policy?

Will a Medical Release form be required from participants prior to attending class?

Will care partners be able to attend?

Will there be any prerequisites before a participant can attend the class?

If yes, please explain.

Will the class be offered virtually?

If yes, please name the online platform.

Instructor Information

First name

Last name

Title

Employed By

Phone

Please list/describe any professional education, licensures, certifications, etc. relevant to facilitating the class.

Please list/describe any Parkinson's training/education you have received.

Please include any additional information that you feel would help us in making a well-informed decision for your application.

To ensure successful implementation of a newly sponsored class, an 8-week pilot period is typically recommended by the PGO Board of Directors. After this period, the board will re-evaluate the progress of the class and any proposed suggestions or changes to the sponsorship agreement at their next monthly meeting. After this point, the class will continue ongoing unless otherwise specified.

Requested Rate per Class

Proposed Class Start Date

If sponsorship is approved, the recipient will be responsible for the following:

Submitting a monthly invoice and participant attendance sheet to the PGO.
Distributing and collecting the PGO’s Photo/Video Release Consent form from all participants.
Maintaining open communication with the PGO and providing notice of any pertinent changes relating to the sponsored class (i.e., class cancellations, class size limitations, new instructor, etc.).
Contributing an article to the PGO about their class for an upcoming newsletter issue.

Signature

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