Registration

Program Registration

Program Registration Form

To be eligible for any programs provided and supported by the LDSA the family must fall into the catchment area of service that the LDSA presently covers and the child must have Down Syndrome. The cost of the program for parents is 50% of the total cost, with the LDSA subsidizing the remaining 50% of the program. Payment is due at the time of registration. For alternate payment options or any other enquiries, please contact [email protected].

Program Name

Program Cost

Participant First Name

Participant Last Name

Participant Age

Participant Height

Participant Phone Number

Participant Email Address

Participant Address

Street Address

City

Province

Postal Code

Guardian's First Name

Guardian's Last Name

Guardian Email Address

Participant's Emergency Contact Phone Number

I consent to let the participant participate in this event.

Payment Method

E-Transfer

Credit Card

Please e-transfer $ to [email protected] and include the participant name and program () in the notes.

You are paying $ by credit card for program registration for ().

Pay with Card (Stripe)

Program Registration

London Down Syndrome Association

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