Join Us!

By being a member of the Down Syndrome Association of Jacksonville, Inc., you have access to the many programs and services available to you and your family. Your updated membership provides us with the necessary information needed to keep you informed:

  • Wellness/Fitness Program which includes: Basketball, Soccer, STARZ Dance Team, Weight Watchers®
  • Family education workshops
  • Age appropriate social events

Please Note:

Limited funding available for the following programs with annual membership renewal:

  • Computer / Keyboarding Instruction
  • Occupational / Physical & Speech Therapy Assistance

Become a Member


Please tell us about yourself.

Fields in bold are required.

Your Name

Your Email

Your Phone Number

Is this a work, home or mobile number?

Your Street Address

Your City

Your State

Your Zip

When contacting you, which do you prefer?

How did you hear about the DSAJ?

Other comments:

If you are a professional, educator or do not have relation to someone with Down Syndrome, this section is not required.

What is your relationship to the individual with Down Syndrome?
(Check all that apply.)
ParentGrandparentGaurdianSelf-AdvocateSiblingLoved one of an individual who is now deceasedOther

Tell Us About the Individual with Down Syndrome

Name

Date of Birth (YYYY-MM-DD)

Gender

Mother's Full Name

Mother's Occupation

Father's Full Name

Father's Occupation

Was diagnosis…

If delivery was in Jacksonville (or the surrounding area), which hospital?

Did you receive the DSAJ blue welcome packet?

May we share your information with other DSAJ support coordinators and appropriate school?

What school, if applicable?

Would you like information on any of the following programs:
Lil’ Stars (newborn-5)Shining Stars (6-12)Teens (13-17)Adults (18 +)D.A.D.S.SoccerBasketball (12+)Cheerleading (8+)Wellness/Fitness (16+)Computer Tutoring (16 months +)Speech Therapy

Would you be interested in volunteering:

By submitting this form, do you consent that the DSAJ may display, publish and share in any way, photos of your child/family?