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Blood Drive, Thursday, May 23, 2019
Thank you for your interest in signing up to donate blood. Be sure to completely fill out this google form sign-up, and submit it. If you are 16 or 17 years old, please be sure to pick up the required forms from Mr. Roberson's room (2-119), and bring those completed with a parent signature to your donation appointment at the Conference room at the Top of Door 1, (Room 2-254/2-257). If you have any questions, please stop in and see Mr. Roberson in room 2-119, thank you!
Email address *
Full Legal Name *
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Male or Female *
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Address, City, Zip Code *
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Mayo Clinic Number
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Birth Date *
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Home/Work Phone Number & Cell Phone *
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Please sign up for one of the available times: *
A copy of your responses will be emailed to the address you provided.
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