SODA at Amarillo High School

Join students at Amarillo High School by registering as an organ donor! One donor’s organs can save up to 8 lives. Every day, 22 people die without a life-saving transplant. SODA: Student Organ Donation Advocates at Amarillo High School is a student-led chapter that advocates for organ donation through engaging registration and education efforts in our community. By signing up as an organ, eye, and tissue donor, and starting a dialogue about organ donation with your family and friends, you are joining the movement to help more people receive life-saving transplants. Learn more about SODA at Amarillo High School by visiting sodanational.org or by “following” us on Instagram @sodanational.

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

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.

SODA at Amarillo High School

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