New Membership Application and Registration


Parent or Guardian Information (If Applicable)


Other Family Members Registering

Your signature indicates the Member Information above is correct.
The information listed will be added to the North Texas SNAP, Inc. database.

Your signature indicates the Member Information above is correct.
The information listed will be added to the North Texas SNAP, Inc. database.


Social/Recreational Activity Involvement

Parent Involvement

North Texas SNAP VOLUNTEERS are the heart of our organization and we make every effort to provide you with a variety of opportunities to get involved and utilize your gifts. We depend heavily on volunteers to help with programs, social activities and special events. Thank you for your time and commitment in helping make NTX SNAP all it can be for our wonderful members!


Parent Availability


EMERGENCY TREATMENT RELEASE

I authorize the person in charge to seek and obtain on my behalf emergency medical treatment. I also authorize transportation to the nearest medical facility in the event it should become necessary.

I authorize the person in charge to seek and obtain on my behalf emergency medical treatment. I also authorize transportation to the nearest medical facility in the event it should become necessary.


PUBLICITY RELEASE

I hereby give my permission for the use of photographs or videos of myself and my family members to be used for the purposes of promoting or representing North Texas SNAP.

I hereby give my permission for the use of photographs or videos of myself and my family members to be used for the purposes of promoting or representing North Texas SNAP.


DONATIONS

Donations to North Texas SNAP helps fulfill the organization’s mission to “Create and support a variety of programs that assist individuals 17 and older living with intellectual disabilities in achieving and sustaining full lives.”

Suggested Amounts
$3.20
$103.20

Billing Information

  • Visa
  • Mastercard
  • American Express
  • Discover
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