ECHHS December 19th Blood Drive Sign-up
Your Email to confirm time of appointment
Period/Time during which you can donate
1:15-1:30 5th pd
1:30-1:45 5th pd
1:45-2:00 5th pd
Name of teacher during the time you are donating
I am a teacher
I am a community member
I am a student
Age (only if a high school student)
If you are 16, you must complete a permission form. Please pick one up from rm183 or download from Ms.Berge's homepage
Are you between the ages of 18-44? AND are you interested in REGISTERING to be a bone marrow donor on the 19th as well?
Not at this time
Never submit passwords through Google Forms.
This form was created inside of Chapel Hill-Carrboro City Schools.
Terms of Service