Eastern Idaho Down Syndrome Family · Friend Membership Form

Last Name *

First Name(s) *

Address *

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Email *

Verify Email *

How would you like to receive our quarterly newsletter? *

Email

Mailing Address

Phone *

How did you hear about EIDS? *

Please check all that apply

Word of mouth

Doctor's office

Social media

News/TV

Other

These are areas we need volunteers; please check if you would like to help with any of these: *

Please check all that apply

Dash for Downs

Down Syndrome Education

Age Groups

Social Media

Advocacy

Other (explain below)

Other Volunteer Interests *

Tell us your connection to the Down syndrome community: *

I have a sibling with Down syndrome

I have a grandchild with Down syndrome

I have a relative with Down syndrome (aunt/uncle/cousin/niece/nephew/other relation)

I am a community member and want to support EIDS

Other