Blood Drive Sign Ups
Thank you for volunteering to donate blood on Friday, May 3rd! After you fill this out, if you are 16, please pick up a parent consent form in the ASB room window and turn it in by April 22nd :) (if you are 17 or 18 you do not need to fill out the parent consent form). In order to donate, you must be 16 years or older and you must meet the height/weight requirements on the back of the parent consent form.
First Name *
Your answer
Last Name *
Your answer
Birthday (you must be 16 or older) *
MM
/
DD
/
YYYY
I am... *
Email (seq account) *
Your answer
Phone number *
Your answer
First choice period to donate *
First choice period teacher and room number (teacher, rm #) *
Your answer
Second choice period to donate *
Second choice period teacher and room number (teacher, rm #) *
Your answer
Second period teacher (for reminder delivery) *
Your answer
Second period room number
Your answer
How did you find out about blood drive?
Your answer
Did you read the info at the top of this form?
Thank you!
If you are 16, remember to pick up a consent form in the ASB room and turn it in by April 22!


If you have any questions, email asbdosomething@gmail.com

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