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Blood Drive Registration
Event time: Thursday, September 29th, 2022 - 8:00am-3:00pm
Event Address: 4211 Dozier St, Los Angeles, CA 90063
Contact us at (323)265-6760 or go to
elara.info
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* Indicates required question
Email
*
Your email
Name/ Nombre
*
Your answer
Phone number/ Numero de telefono
*
Your answer
Age/ edad
*
18 -21
21+
17 and under -consent form needed/ Menores de 17 años -necesitan forma de consentimiento
What time will you attend?/ Que horario asistira?
*
8am - 10am
10am - 12pm
12pm - 2pm
Required
I understand that I will need my Identification upon arrival/ Yo entiendo que necesitare una identificacion a mi llegada
*
Yes/Si
Required
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