Donate Life Movie Night

Austin High School is partnering with Donate Life Texas to host a Movie Night at our school’s football field (3434 Pheasant Creek Drive, Sugar Land, Tx, 77498) on December 3rd, 2016. The movie will be The Polar Express to kick off December.

Tickets will be sold at school during lunches for $3 each during the week and $5 at the door. There will also be concessions sold at the event for $1 each. There will be hot chocolate. 🙂

All of the money will go to Donate Life Texas. We will also have a table set up that will allow students to sign up to the Donate Life Texas organ and tissue donor registry.

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https://www.donatelifetexas.org/es/sodawakelandhs/

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.

Donate Life Movie Night

Spread the word

Register as a donor

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