Membership Information Update Get InvolvedMake a Donation Become a Sponsor Become a Member Volunteer Join Our Mailing List Work With Us Join a Committee Need to update your DSAWM family membership information? Please do so using the form below or by calling our office at 616-956-3488. Membership Information Update General InformationParent/Caregiver Name* First Last Spouse/Partner First Last Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code CountyDSAWM uses this information for programming and grant purposes.AlleganBarryIoniaKalamazooKentMecostaMontcalmMuskegonNewaygoOceanaOttawaVan BurenOtherIn what county do you reside? School DistrictDSAWM uses this information for programming and grant purposes. Primary Email* Secondary Email Primary Phone #*Secondary Phone #Individual with Down syndrome InformationIf more than 2 individuals with Down syndrome, please add the name, gender, and birthdate of any other individuals in the Additional box below.Name of Individual with Ds* First Last Gender* Male Female Birthday*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Which of the following best describes the individual with Down syndrome?* Asian or Pacific Islander Black or African American Hispanic or Latino Native American or Alaskan Native White or Caucasian Multiracial or Biracial Other Prefer not to answer Other (please describe) Add another individual with Down syndrome Name of Second Individual with Ds First Last Gender Male Female BirthdayMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Which of the following best describes the individual with Down syndrome? Asian or Pacific Islander Black or African American Hispanic or Latino Native American or Alaskan Native White or Caucasian Multiracial or Biracial Other Prefer not to answer Other (please describe) Additional Individuals with DsMember PermissionsContact Permission* I give DSAWM permission to contact me via email (newsletter, event & program information, etc.) I do not want to receive information from DSAWM. Photo Consent*DSAWM photographs participants at many member events, activities, and gatherings. Additionally, each year DSAWM sends out a call to members for their own photo submissions. Photos may be used in marketing and promotional materials, the DSA Press newsletter, social media, or on the DSAWM website. I give permission to the DSAWM to use photos of me, my child and/or my family I do NOT give permission to the DSAWM to use photos of me, my child and/or my family Volunteer OpportunitiesOur volunteer opportunities range from one-time projects to ongoing working committees. Please share how you are interested in helping and we will contact you with more information. Events Programs Parents for Parents Mentoring Community Relations/Outreach