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Central Mississippi Down Syndrome Society

P.O. Box 935
Jackson, MS 39205
601-385-DOWN (3696)

Register for the Buddy Birthday Program

To ensure we have the correct date of birth and mailing address for your loved one with Down syndrome, please complete the form below.

Name of individual with Down syndrome*
First Last
Email*
Phone Number
Alternate Number
Name of Parent or Guardian*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Birthdate*

2023 World Down Syndrome Day

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