Project Lifesaver: Donate Blood, Save Lives
Hello! JCI Quezon City Capitol appreciates your intent in participating to our Blood Letting Project to be held on 27 November 2021, Saturday at 10am - 3pm with 3F Covered Parking Area of Waltermart, E. Rodriguez as venue.

Kindly ensure to follow health and safety protocols as you undergo the procedures by observing physical distancing and wearing face mask and face shield. Please check the other reminders as well.

Sign up now! Invite your relatives, friends and colleagues to join you as we make a big difference to the lives of others.
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Full Name *
Age *
Complete Address *
Contact Number *
Email Address *
Organization *
Blood Type *
Medical Condition/s: *
Had fever, cough, colds, headache other COVID19 symptoms within the past 14 days? *
Exposed to a COVID19 positive patient within the past 20 days? *
Had tattoo or body piercing within a year? *
Are you COVID19 vaccinated without adverse reactions? *
I agree that my personal details will be used specifically for the project purpose only in compliance with the Data Privacy Act. *
Required
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