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MEMBER BLOOD DRIVE SIGN-UP SHEET
To reserve your space online, email info@hbasiouxempire.com
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DATE: Thursday, October 15, 2020 (will be held during the Member Appreciation Lunch)
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LOCATION: Prairie View Event Hall's parking lot (27091 Kerslake Pl, Tea, SD)
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See COVID-19 requirements below.
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DONOR #1DONOR #2
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NameCompanyEmailNameCompanyEmail
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10:30 AMDaniel GlammeierGlammeier Homesdanielgl@live.com
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10:40 AM
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10:50 AM
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11:00 AMBrad MairA-Plus Constructionbrad.aplus@midconetwork.com
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11:10 AM
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11:20 AM
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11:30 AM
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11:40 AM
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11:50 AM
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12:00 PM
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12:10 PM
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12:20 PMJerry CookAVIjcook@foss-avi.com
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12:30 PM
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12:40 PM
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12:50 PM
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1:00 PM
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1:10 PM
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1:20 PMAlan AmdahlAmdahl Const Coamdahlconstruction@msn.com
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1:30 PMRhonda ImsFrisbeesrhondai@frisbeesinc.com
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Do Not Donate Blood if in the past 14 days (prior to the October 15 donation day), you have had any symptoms of COVID-19, such as:

• Fever or chills
• Cough
• Shortness of breath
• Runny nose
• Sore throat
• New loss of taste or smell

In the past 14 days (prior to the October 15 donation day), you had a positive diagnostic test (nasal swab test) for COVID-19 but you never developed symptoms or if you have a pending COVID-19 test because you were exhibiting symptoms from the list above.		According to the FDA / CDC donating blood is considered an essential service to maintaining critical community medical services.

• Donors are asked to wear masks. If you forget one, one will be provided
• Donors must be healthy and not exhibiting signs of cold or flu
• Donors are screened at the registration table, temperatures are taken and key COVID-19 questions will be asked prior to entering the bloodmobile
• Bloodmobile staff members are screened daily & wear masks
• Staff members sanitize the donation beds and common areas between blood donations
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