December Blood Drive Registration
Event Timing: December 12, 2018; 8:30 am-1:30pm
Event Address:Eastern Alamance HIgh School; Auxiliary Gym
Contact Tanae Walker at

Make sure to pick up the parental permission slip in the office if you are not 17 years old by December 12, 2018.

Email address *
First Name *
Your answer
Last Name *
Your answer
Phone Number *
Your answer
Are you at least 16 years old? *
I understand that If I am 16 years old I will need to pick up a parental permission form from the office and have it signed. I also will need to bring in this signed form on December 12, 2018. *
I understand that I will need to bring a photo id the day of the Blood Drive. *
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