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 tanae_walker@abss.k12.nc.us

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. *
Required
I understand that I will need to bring a photo id the day of the Blood Drive. *
Required
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