Membership Application

Lifetime Membership Fee: Regular ($25.00), Self-Advocate ($5.00)

Name(Required)
Address(Required)

List the names of family members in the same household and year children were born

Has Down Syndrome
Has Down Syndrome
Has Down Syndrome
Has Down Syndrome
Has Down Syndrome
Which of the following describes your relationship to GVDSS?

Photo & Information Release

Please read the release form and complete the required fields
Release Approval*(Required)
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Type full name

We will not sell or share personal information with any third parties. We will use the information to contact you about services or events that are relevant to the Down syndrome community. Payment can be made via cash/cheque or via PayPal at the GVDSS website