EmailMeForm
Blood Drive Registration
Completing this registration form will help ensure that all the necessary information will get to the people who need it.
When the form is completed, you will receive an e-mail with a summary of your answers. This document should be shared with the Donor Resource Consultant for your county.
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Unit Contact
*
First
Last
Unit Contact Email
*
Unit Contact Phone
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District
*
Please Select
Battlefield
Conococheague
Heritage Trails
Keystone Capital
Pioneer
STEM and Exploring
County
*
Please select
Adams
Cumberland
Dauphin
Franklin
Perry
York
Unit type
*
Please select
Troop (Boy)
Troop (Girl)
Pack
Post
STEM Lab
Unit number
*
Expected number of Youth Volunteers
Expected number of Adult Volunteers
If multiple units are working together, please list all participating units (type and number) below.
What Type of Blood Drive will you hold?
*
Indoor Blood Drive
Blood Mobile (Not currently available)
Blood Collection Van (Not currently available)
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