Blood Drive Sign Up May 17th, 18th
Student Council Member
Your answer
Donor name (First and Last) *
Your answer
Donor Age (if 16 you must have a parent consent form found in stu services or f128) *
Your answer
Donor Cell Phone Number
Your answer
Best Time to Donate *
First Period Teacher (if late start put 2nd period teacher with an asterisk ex: Becker*) *
Your answer
First or Second Lunch *
Would you like to donate power red? (Power Red is similar to a whole blood donation, except a special machine is used to allow you to safely donate two units of red blood cells during one donation while returning your plasma and platelets to you. Requirements: Female- minimum height of 5'5" and minimum weight of 150lbs Male-minimum height of 5'1" and minimum weight of 130lbs) *
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