WSA Social Club Registration Form
Welcome to the WSA Social Club! We meet twice a month over Zoom to hang out, give updates on our lives, play games, and just have a great time. There's also our Facebook group where people can safely share what's going on with everybody on social media. We also will do in person events like plus-one trips, convention programming, and even camps! By filling this form out, you agree to receive emails from the Williams Syndrome Association regarding Social Club awesomeness!
Full Name
*
First Name
Last Name
E-mail
*
example@example.com
Phone Number
Gender (for WSA purposes only)
Please Select
Male
Female
Non-Binary
Prefer not to say
Other
Date of Birth
*
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Month
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Day
Year
Date
What is your primary or preferred language?
Are you interested in hearing about Adventure Seekers Travel opportunities
Please Select
Yes
No
Parent/Caregiver Full Name
First Name
Last Name
Parent/Caregiver Email
example@example.com
Parent/Caregiver Phone Number
Please enter a valid phone number.
If you are outside of the United States, what country do you live in?
Do you speak any other language fluently?
Anything else you'd like us to know about you?
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