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December 12th Blood Drive Sign - Up
Sign up to donate at the upcoming blood drive below!
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* Indicates required question
Email
*
Your email
Before anything, check the weight chart!
Do you weigh enough?
*
Yes
No
How old are you?
*
16
17
18
What is your date of birth?
*
MM
/
DD
/
YYYY
What grade are you in?
*
Junior
Senior
Do you have any tattoos?
*
Yes
No
Student Number
*
Your answer
Last Name
*
Your answer
First Name
*
Your answer
Phone Number
*
Your answer
Period you'd like to come in
*
1st
2nd
3rd
4th
5th (If you have 1st Lunch)
5th (If you have 2nd Lunch)
Make sure to grab a permission slip from the College and Career Center or in front of the library. Or, you can have it emailed!
*
I'll pick one up.
I'd like mine emailed - I'll print it myself.
How did you hear about the blood drive?
*
Flyer
Channel 6 News
A friend
Remind
Other
If you heard from a friend, or you chose "other", who referred you?
Your answer
I will bring my signed permission slip on December 12th!
*
Yes!
Definitely!
Thank you for choosing to donate, it's for a worthy cause!
Join the Blood Drive Remind @blddrv2020 for future updates!
A copy of your responses will be emailed to the address you provided.
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