High School Outreach Initiative: Presentation on Transplantation and Organ Donation
Thank you for your interest in having a presentation on the importance of organ and tissue donation at your school.

View our Teacher Letter explaining this initiative here: http://bit.ly/HSOIteacherletter

In partnership with the Trillium Gift of Life Network, this initiatives roster of speakers are healthcare professionals from the University of Toronto Transplantation Institute which encompasses the UHN Transplant Program, Hospital for Sick Children Transplant and Regenerative Medicine Centre, and St. Michael's Hospital in Toronto, Ontario. In addition, a transplant recipient, living organ donor, will also attend to share their transplant story.

Due to the popularity of this offering, a minimum lead time of 6 - 8 weeks is required for presentation dates requested. Presentations may be booked from September to June. Please ensure you submit up to 4 optional dates/times as we may not be able to accommodate your first choice.
Email address *
School Board
High School Name *
Please enter the name of the school here.
Your answer
High School Address *
Please enter full mailing address.
Your answer
Is parking available at the school? *
If presenter need to get special access (pass, etc) in advance, please note at bottom of form.
School Audio Visual Technology *
Please let us know what technology will be available at your school on the date of the presentation. This information helps us to provide the best presentation possible to your students. We do not provide equipment but can bring the presentation on a USB key at minimum.
Teacher Contact Name *
Teacher who the booking is under and is responsible for coordination.
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Email address *
Email address connected to teacher for this presentation. Main booking details will be communicated via email to the booking teacher and if applicable the teacher for the booking.
Your answer
Telephone Number *
Please enter the main telephone number (and extension if applicable)
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