ECHHS December 19th Blood Drive Sign-up
Last Name *
Your answer
First Name *
Your answer
Your Email to confirm time of appointment *
Your answer
Period/Time during which you can donate *
Name of teacher during the time you are donating *
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
Your answer
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?
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