Registration – Down Syndrome Association of the Upstate

Parent/Caregiver First Name *

Parent/Caregiver Last Name *

Are you currently enrolled in a DSAU membership? *

Individual with Down Syndrome Name *

Email Address *

Phone *

Street Address *

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Team Name *

Individual with Down Syndrome photo for team page *This information will be used when constructing your team page. The DSAU will build your team page for fundraising and will forward you the link that can be shared to your friends and family.

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Tell us your child's story. *This information will be used when constructing your team page. The DSAU will build your team page for fundraising and will forward you the link that can be shared to your friends and family.

Tell us why you are walking this year. *

Have you completed your Team Registration purchase? *REMEMBER: Team Registration includes the individual with Down syndrome and (1)Caregiver. All additional immediate family members should be added as additional tickets.