DIS Membership

JOIN US!

Do you want to receive invitations to our upcoming fun community events? Are you a new parent looking for information and support? Are you looking for activities for a teen/adult who has Down syndrome? Simply complete this form and we will contact you!

We take your privacy seriously, and would never share your information!

First name:
Last name:
Address:
City:
State:
Zip:
Phone number:
Cell phone number:
E-mail address:
Are you the parent of a child with Down sydnrome?
- Yes
- No
Please input the name of your child with Down syndrome.
Birth date of child with Down syndrome (MM/DD/YYYY)
Do you have any other children?
- Yes
- No
If you have other children, please indicate their names and birth dates (MM/DD/YYYY).
How did you learn about Down in the Southland
What are your hopes in joining Down in the Southland?
I have read the information above.
- By submitting this request I am requesting membership in Down in the Southland.. I agree to comply with the bylaws and any rules, regulation and resolutions passed by the Board of Directors.
Submit

Thank you for contacting us. We will get back to you as soon as possible

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Down in the Southland

CREATING COMMUNITY ACCEPTANCE & INCLUSION FOR PEOPLE WITH DOWN SYNDROME Accept - Educate - Collaborate

JOIN US!

CREATING COMMUNITY ACCEPTANCE & INCLUSION FOR PEOPLE WITH DOWN SYNDROME
Accept - Educate - Collaborate