Montwood High School

Montwood High School is campaigning to help Donate Life! We invite you to make a difference by registering your decision to be a lifesaving organ and tissue donor.

Right now, there are over 120,000 people in the U.S. waiting for an organ transplant. More than 1.5 million people are touched each year by tissue and cornea transplants. Registering as a donor helps ensure that you can save and improve more than 50 lives by giving the gift of life.

Let your Montwood Pride Show! Sign up to Save Lives today!

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https://www.donatelifetexas.org/es/mhs-rams/

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.

Montwood High School

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