LDISD StuCo Donor Drive

Ring in the New Year with a lifesaving resolution!

LDISD Middle School and High School Student Council invite you to sign up to save lives with the Donate Life Texas organ, eye and tissue donor registry. Our registration table at the recent District Teach Conference was a success and we want to keep the lifesaving momentum going!

More than 120,000 people in the US are waiting for an organ transplant and more than 1.5 million will need a tissue or cornea transplant this year alone. By registering, you give hope to all those who wait and help ensure your decision to donate is known by the right people at the right time.

Got questions? Just ask any LDISD StuCo Member!

Ready to be a lifesaver? Just sign up below!

Dare to Dream, Dare to Do & Dare to Donate!

Spread the word

https://www.donatelifetexas.org/es/idea-treslagoshs/

Register as a donor

Gender*

male female

First Name*

Middle Name

Last Name*

Date of Birth (ex: MM/DD/YYYY)*

Most Recent Address*

City*

State*

Not from Texas? Visit Donate Life America to find the registry for your state.

ZIP Code*

Phone

E-mail Address*

Place of Birth (City, State)

Ethnicity

PLEASE PROVIDE ONE OF THE FOLLOWING:

SSN# (Last Four Digits)

Texas Driver License/Personal ID:

Mother's Maiden Name

How did you learn about the Texas Donor Registry?

Please Specify

I would like to donate:

all organs and tissues for transplant and for research, education or therapy purposes if they are determined unsuitable for transplant
all organs and tissues for transplant only
to specify my gift of donation on the next page

Have you signed up for a Body Donation Program? If so, please indicate which program:

Electronic Signature Certification
I understand this online registration remains binding after my death. I do solemnly swear, affirm or certify that I am the applicant described in application, and that the information entered herein is true and correct. By clicking the submit button I affirm that I wish to be a potential organ donor and/or tissue donor upon my death.

Yes, I accept the Electronic Signature Certification.

LDISD StuCo Donor Drive

Spread the word

Register as a donor

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