Tue 10/1/24 HEAL Blood Drive Sign Up
Use this form to sign up to donate blood!

Requirements: 
  • Be at least 15 years old at the time of donation
  • Get permission slip signed (pick up in Rm 51 or print it from your confirmation email)
  • Weigh at least 110 lbs
  • Bring a picture ID (can be a Ca ID or you can pull up your Zangle Profile on your phone)
Email *
Student ID# *
Last Name *
First Name *
Age (you must be 15 do donate and have a permission slip if you are under 17 yrs old) *
Grade *
Blood Drive Appointments
We are only allowed to accommodate a certain number of donors per time slot. Your appointment time will be issued as close to your time preference as possible. An appointment slip will be emailed to you, so please be on the lookout.
Appointment Time Preference *
Teachers and Room #s
Please let us know what rooms you will be in so that we can deliver a reminder slip to you. If you are a staff member, put your own name and room number (or office you work in) for each period.
Period 1 Room # *
Period 2 Room # *
Per 3 Room # *
How did you hear about the blood drive? If a person invited you, type their name below. *
A copy of your responses will be emailed to the address you provided.
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