Club 25 Membership Form

Club 25 is a participatory youth strategy which aims to promote voluntary non-remunerated blood donation among young people. Through the Club 25 initiative National Societies recruit, educate, motivate and retain young blood donors between 17 and 25 years of age who commit to adopting a healthy lifestyle and become low risk regular blood donors. Young people who become members of Club 25 make a commitment to donate blood at least twice a year until their 25th birthday. In this way, they contribute to increasing their country’s blood supply and to fostering youth social responsibility and voluntarism within their communities.

All information shared in this form is confidential and will not be disclosed to any third party.

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Full Name (as stated in Birth Certificate) *
Date of Birth  *
Home Address or Location *
 Phone number
Email address *
Sex *
Blood Type *
Allergies *
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