JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
SFHS Blood Drive Donor Sign Up
September 17th, 2019
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Age (as of September 17th, 2019)
*
MUST BE 16 OR OLDER BY 17 SEPTEMBER. IF 16, MUST HAVE A SIGNED PARENTAL PERMISSION SLIP TO SIGN UP.
Your answer
Requested block (Tuesday, September 17th, 2019)
*
Choose
Block 1
Block 2
Block 3
Block 4
Acknowledgements
* Minimum weight for all donors is 110 lbs or more, depending on your height. Consult a volunteer if you believe you may be underweight.
* Get at least eight hours sleep the night before your donation.
****IMPORTANT*** You MUST eat a healthy breakfast (and lunch, for later appointments) on the day of your donation. Failure to do so will result in you being turned away.
I have read and understand the acknowledgements above.
*
CHECK HERE
Required
(Optional) Recruited by:
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Florence 1 Schools.
Report Abuse
Forms
