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ANNUAL MEMBERSHIP FOR 2021

Annual membership due now $40

Friends of Broward Gold Coast Down Syndrome Organization, Inc. $45

Pay via PayPal with the below form or send check to:
Broward Gold Coast Down Syndrome Organization, Inc.
9900 West Sample Road, Suite 339
Coral Springs, FL 33065

Please complete membership form below. Memberships are non- refundable.

Membership

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 member of GC, yearly membership - $40

I would like to be a member of GC, I don't have a child with DS, yearly membership - $45

I would like to make a donation - $5

I would like to make a donation - $10

I would like to make a donation - $20

I would like to make a donation - $50

I would like to make a tax deductible donation of

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. BGCDSO reserves the right to make any changes to the membership at any time.

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

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

Social group activities: (Children Playgroup, 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.

Friends of Broward Gold Coast: For individuals and families who do not have a family member with Down syndrome: $45.00 annual membership includes all of the above, excluding scholarships and the Holiday Party.

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ANNUAL MEMBERSHIP FOR 2021