Purpose

Down Syndrome Indiana is committed to providing quality information to its members and believes that the preparation and delivery of newsletters, calendars of events and annual reports plays a big role in carrying out this commitment. In an effort to optimize this objective, we are in the process of updating the information in our database.

Our goal is to ensure that all interested members are receiving information in a timely and cost effective manner. One objective that we hope to achieve is to deliver as much information as possible by e-mail. This will result in members receiving information quicker and will save Down Syndrome Indiana the significant costs associated with printing and delivering information by regular mail.

Therefore, we strongly encourage all members to opt out of receiving information by regular mail and elect to receive this information electronically. The information requested in the form below is optional and we have made a sincere effort to keep it as short as possible to encourage a positive response. We value your time and hope that you will take a minute to complete this form and return it to us so that we can continue our goal of providing quality information to all of our members. Thank you for supporting Down Syndrome Indiana and we look forward to serving you in 2009.

Submission of this form is required to remain in our database. At a minumum, please provide your name and either an e-mail address or regular mail address.

Our privacy policy can be viewed here.

* Login Name:
* Password:
* Confirm Password
Organization (If applicable)
First Name
Last Name
Street Address 1
Street Address 2
City
State
Zip Code
* E-mail Address
Additional E-mail Address
Telephone
Cell Phone
Toll Free
Fax
Personal Website
Preferred Method of Contact


Employer
Website
Profession
If Other, please list profession
Title
Work Phone
Are you interested in sending sponsor information to your employer?

Are you a member of the 2010 DSI Board of Directors?
Ethnicity
Race
Gender

Primary Language
Spouse or Significant Other's First Name
Spouse or Significant Other's Last Name
Spouse or Significan Other's E-mail
Relationship to an individual with Down syndrome: ( Please check all that apply)













Date of Birth for the individual with Down syndrome only  
Do you participate in our Self Advocate group? (Individual with Down syndrome only)

If no, would you be interested in learning more about our Self Advocate group? (Individual with Down syndrome only)


School District
Subscribe to receive press releases, important news, & event notices
Subscribe to receive information about matter of interest involving education and public policy
Subscribe to receive information for your local community group (if available). To learn more about community groups and their service areas click here.









Subscribe to the Yahoo Parent Loop
Subscribe to Common Bonds (Electronic Copy)
Subscribe to Common Bonds (Hardcopy)
Subscribe to our Monthly Events Calendar (Electronic Copy)
Subscribe to the Monthly Calendar of Events (Hardcopy)
Subscribe to Up with Downs (Hardcopy)
Subscribe to Ups with Downs (Electronic Copy)
Subscribe to Volunteer Times (Electronic Copy)
Subscribe to Volunteer Times (Hardcopy)
Are you interested in volunteering at the Buddy Walk?

Have you attended a Buddy Walk?

Buddy Walk 2009 Team Name
How often do you attend DSI events? (please select one)




How often do you or your family utilize DSI resources? (please select one)




Are you an expecting parent of an infant with Down syndrome?

Are you a new parent of individual with Down syndrome?

If you are a new parent, would you like someone to contact you directly to provide additional support and reassurance?

Would you like to receive our new parent packet, a wonderful group of resources for new parents (free of charge)?

Are you a Down syndrome Affiliate Group or Association Staff or Board Member?

Are you a member of D.A.D.S.?
Would you like someone from D.A.D.S. to contact you directly at your preferred method of contact?

Have you attended or participated in the D.A.D.S Annual Golf Outing

Would you like to receive more information about the D.A.D.S. Golf Outing?

Are you interested in volunteering at a D.A.D.S. Golf Outing Event?

Are you interested in becoming a DSI volunteer?