BECOME A MEMBER

Please fill in all sections completely.  After hitting the submit button, you will see a color coded rectangle letting you know if your form was accepted (Note: you may have to scroll down a bit to see the box).   You will also receive a confirming email at the email address you provided within the form outlining all of your responses.

We look forward to meeting you!

Applicant's full name (required)

Family member with Down syndrome Name(required)

Birthdate of Family member with Down syndrome
Format Month/Day/Year

Relationship to person with Down syndrome

Your Address (Include City, Province, and Postal Code)

Your Email (required)

Phone Number

Ages of other children

From time to time, FVDSS.org may send emails about upcoming events and other information. Would you like to receive information and email updates about:
Preschool Playgroup?  Yes No
Events?  Yes No
Monthly Meetings?  Yes No
Community Services and Programs? (ie: Early Intervention, At Home Program, Respite, School Aged Services, etc)  Yes No

Do you have any questions you would like to ask?

Would you like an FVDSS member to contact you for a meet and greet?
 Yes No

Would you like to be a volunteer for the FVDSS?
 Yes No

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