Renew Your Membership

The Down Syndrome Association of Atlanta (DSAA) offers membership in the association renewable on an annual basis or a lifetime membership.  Membership is currently $25 per year per household; the lifetime membership cost is a onetime payment of $250 per household.  Parents of a newborn child with Down Syndrome receive the first year's membership at no cost.  Down Syndrome Specialists working in school systems can become members at no cost.  For anyone with a financial hardship, full or partial scholarships are available upon request.

Membership benefits include the following:

• Newsletter six times a year
• New Parent Packet (first year only)
• Copy of the book Babies with Down Syndrome (one book in first year only with new membership)
• Reduced prices for social events and educational conferences
• Information about play groups/networking groups in your area
• Email blasts about current issues and events

Membership is open to anyone with an interest in Down syndrome.  New members are always welcome.  Grandparents, extended family members, and educators are also welcome.

For questions, call (404) 320-3233 or email DSAA's Assistant Director at .(JavaScript must be enabled to view this email address)

 

Printer friendly, mail-in membership renewal application:

If you prefer NOT to submit your membership renewal application on-line, then the downloadable application forms are here:
MS Word document            PDF document

Household Contact Information

Household Greeting: required

This is your household ID. It is what will appear as the "greeting" on the mailing labels used when DSAA
mails information to you; i.e "Richard and Jennifer Jones" or "The Hibben Family" or "your name".

Household Address Information

This is the primary address for your household. All information from DSAA will be mailed to this address.

Street Address 1: required

Street Address 2: optional

City: required

County: required

State: required

Zip Code: required

Individual Member Information

Information for the Primary Adult Contact in the Household (i.e. Mother or Father) First Name: required Last Name: required Email Address: required Phone Number: required Employer: optional Fax No: optional

Information for another Adult Member of the Household (i.e. Father or Mother) First Name: optional Last Name: optional Email Address: optional Phone Number: optional Employer: optional Fax No: optional

Membership

Type of Membership: required
DSAA membership; renewal -------------- $25.00 per year per household DSAA lifetime membership; ---------------$250 one time payment per household Member & Sponsor ------------------- $50.00 for you & anonymously sponsor another family Scholarship Request ---------------- I am requesting a full/partial scholarship for membership fees Down Syndrome Specialist ---- free Other Donation

After you click "Submit" below, the next page will present you with the opportunity to pay this amount with your credit card through PayPal, or you can print your email receipt and mail this and your check to DSAA's address (provided on the next page),

Method of Payment: required
I am paying now via credit card though PayPal. I am paying via a check and mailing it to DSAA's address.

Personal Information (optional)

Would you like to be contacted by a Parent Liaison?
Yes No

Do you have a family member with Down syndrome?
Yes No

Name of person with Down syndrome:

Relationship to applicant:

Birthdate of person with Down Syndrome: required

This is your annual DSAA membership renewal date for your household.

Name of siblings and ages

Community (optional)

Are you interested in a networking group near you?
Yes No

May we publish your family information in a private directory available only to DSAA members?
Yes No

Are there any activities/subjects of particular interest to you?

Additional Comments:

Please enter the word you see in the image below:

CAUTION: This will clear the entire form.