Welcome to Team Illinois
This is the form you complete to register as a team member for Team Illinois only. You will register separately for the Donate Life Transplant Games of America once you enter the "Members Only" section of this website.
This describes your connection to the Transplant Games.
I am NEW to Team Illinois and have never been involved with the games before.
I am a returning team member; I participated in the 2016 games.
I am a returning team member; I DID NOT participate in the 2016 games.
This is the main database for any information on you. Please be as thorough as possible. Thank you!
Name (first, last, nickname)
(five-digit postal code)
Landline Telephone Number (with area code)
Cell Phone Number (with area code)
This describes your membership in Team Illinois.
Team supporter (family member, friend)
(if applicant under 17)
Would you be interested in helping on a committee?
Not at this time
If yes, please indicate your area(s) of interest and/or expertise.
PR/Marketing: writing, creative
Donor awareness events
Sports events: coaching, organizing
Do we have your permission to use your individual photo for publicity purposes?
[Team photos and TGA competition photos automatically imply permission.]
We would like these demographics for our records. Please share if willing.
Date of Birth (xx/xx/xxxx)
Type of transplant received
Date of transplant (xx/xx/xxxx)
Name of transplant center
[Name and location of the hospital where you had your transplant]
Type of transplant
Please share your story. In doing so, you give us permission to use this information.
This information will be used to order the appropriate uniform for the Games.
General size category.
Mark only one oval.
Shipping address if different from above
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This form was created inside of Team Illinois TGA.