Community Membership Registration

This annual membership is for friends, extended family members and interested community professionals. Membership includes access to workshops, resources, and select DSAH events.

This membership is valid until December 31, 2023.

Member Name *
First
Last
Phone *
Email *
Address *
Address Line 1
Address Line 2
City
State / Province / Region
Postal Code
Country
Memberships are for Ontario, Canada residents only.
Why do you want to be a member?
Professional Development / Networking
To support my friend or family member with Down syndrome
To have access to events and resources
Photo/Video Consent
Yes
No
I allow myself individuals in my household to be photographed at DSAH programs and events. Photos and videos are property of the Down Syndrome Association of Hamilton and used for social media, marketing and educational purposes.
By signing, I agree to the holding of this information and understand the Down Syndrome Association of Hamilton will not pass information onto third parties without prior permission. The information I have provided is correct as of the date signed.

Signed *
Date *
Select Membership Type *
Community Membership - $25.00
Credit Card *
Card
Name on Card