ANNUAL MEMBERSHIP FOR 2019

Your membership of $35.00 or $40.00 for 2019 must be paid before you rsvp to any event.

Please complete membership form below and payment before March 1, 2019.

For membership, you will be able to pay via PayPal after you submit your information in the form below. Memberships are non refundable.

Membership

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Name *

First

Last *

Last

Email *

Phone Number *

Address *

Address

City

State/Province

Zip/Postal

Name of My Child with Down Syndrome

First

Last

Age of Child

Child's Birthday

Name of My Other Child

First

Last

Name of My Other Child

First

Last

Name of My Other Child

First

Last

Please check the following options

I would like to be a 2019 member of GC, yearly membership - $35

I would like to be a 2019 member of GC, I don't have a child with DS, yearly membership - $40

Total

I would like information on the following:

Acceptance *

I grant to Broward Gold Coast Down Syndrome Organization its representative and employees the right to take photographs/video images of me and my property in connection with the above identified subject. I authorize BGCDSO, its assignees and transferees to copyright, use and publish the same in print and/or electronically. I agree that BGCDSO may use such photographs of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising and Web content. I have read and understand the above.

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Membership will cover 2 parents and all children for most services, please see below.

Social group activities: (Playgroup, InBetweeners, Teens Plus). Membership will cover 1 individual with Down syndrome and 1 caregiver. Additional family members are welcome to attend and are responsible for their own expenses.

Holiday Party: Membership covers 2 parents and children. Due to space limitations married siblings and their children are not included. More information to follow regarding the Holiday Party.

Membership benefits include: Newsletter, Advocacy, Scholarship Opportunities, Social Events, Holiday Party (for Gold Coast members only – parents and children), Educational Workshops, Seminars, Speakers and Presentations.

Friends of Gold Coast: for individuals and families who do not have a family member with Down syndrome: $40.00 annual membership includes all of the above, excluding scholarships and the Holiday Party.