Blood Drive Sign Up -GHS 2025 (February 14th, 2025) 
Complete this form if you are willing to give blood on  2/14 2025. Those that are 16 years old prior to the blood drive and do not have a parent permission on file , will need to get a a parent permission form (in library) after completing the sign up. If you already have a permission slip signed or  Ages 17+ , prior to the blood drive are ,only required to complete this form to donate.
Sign in to Google to save your progress. Learn more
Email *
First name *
Last Name *
Student Number *
Birth Date *
3 points
MM
/
DD
/
YYYY
What type of student are you? *
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Springfield Public Schools R12.

Does this form look suspicious? Report