BLOOD DRIVE
You must have a signed permission slip for 16 and 17 year old students. Must have ID to give blood.
Email *
Name: *
Contact number: *
DOB *
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I would Like to give blood on 9/30-2021 *
Please add time you would like to give. *
Time
:
Please give homeroom teachers name. *
Please list the teacher you would like a 100 from. *
If you are a parent or Guest giving blood for a student. List students name below (so that will be be able to give them credit). *
I understand that it is my responsibility to get a permission slip from the office. Students that are age 16 & 17 only. *
A copy of your responses will be emailed to the address you provided.
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This form was created inside of Wilkinson County Board of Education.