Kettering Blood Drive - Become a Donor!
Please complete this form if you have interest in donating blood at our next blood drive, scheduled for Friday, March 1, 2024. The drive will begin at 7:20a and conclude at 1:30p. If you are 17+ years old, you will be automatically given a donor time-slot in our system and can expect an email confirming. Please check for an email the day prior to the drive, to fill out the survey of information ahead of the drive. If you are 16, please see Mr. Burlingame, Room 105, for the necessary form to complete your registration. Students under the age of 16 are ineligible to donate. Select the time that best fits your schedule--your appointment will be as close as possible to that time.

Schedule for 2023-2024:
  • Friday, March 1, 2024
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Email *
First Name *
Last Name *
Cell Phone Number *
Birth Date *
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Grade Level *
What is your 5th Hour Room Number? *
Have you donated with us before? *
Best time of day for your appointment *
Times are approximate and are based on the drive status--they are not guaranteed. You will receive a pass by a member of Student Council, at the time of your actual appointment.
Alternate time for appointment
Times are approximate and are based on the drive status--they are not guaranteed. You will receive a pass by a member of Student Council, at the time of your actual appointment.
I certify that I am a Kettering Student and know all donor expectations for the upcoming blood drive.
*
Please check all that apply:
Required
I certify that I am of eligible age for donation on the drive date. *
Please check all that apply:
Required
A copy of your responses will be emailed to the address you provided.
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