Become a member of HalifaxNSDSS
Sign in to Google to save your progress. Learn more
Parent First Name *
Parent Last Name *
Address *
City *
Postal Code *
Telephone Number
E-mail Address *
Person with DS *
Person with DS Birthday *
MM
/
DD
/
YYYY
Reason for Joining HalifaxNSDSS
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.