Regional Conference Blood Drives
Giving Blood, Saving Lives. Please complete this survey by February 28, 2022 to host a Regional Conference Blood Drive in the spring or summer of 2022.
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How Donating Blood Helps Your Community - Video
Language (choose 1 language that represents your congregation best) *
Is your church willing to host a blood drive in 2022? *
Church Name *
Church Address (including number, street, city, state, & zip code ) *
Average Weekly Church In Person Attendance *
Does your church have a fellowship hall or gym? *
If your church does not have a fellowship hall or gym, would you be willing to partner with a nearby Adventist Church? *
If your church does not have a fellowship hall or gym, would you be willing to partner with a nearby community organization? *
Pastor's First and Last Name *
Pastor's Title *
Pastor's Cell Phone Number *
Pastor's Email Address *
At my next board meeting, I will ask my church board to vote hosting a blood drive on one of the following dates in April, May, or June 2022: *
Are you interested in receiving Blood Drive material and resources from the American Red Cross? *
First and Last Name of the contact person who will coordinate your church blood drive  (We recommend your health ministries or community services leader; however, choose any leader who is organized, has great communication skills, is able to commit the time, can meet deadlines, and is accountable.) *
Cell number of contact person listed above *
Email Address of contact person listed above *
First and Last Name of Church Secretary or Church Clerk *
Cell Phone Number of Church Secretary or Clerk *
Email Address of Church Secretary or Clerk *
First and Last Name of Secondary Contact *
Cell Phone Number of Secondary Contact *
Email Address of Secondary Contact *
Thank you for registering for the Regional Blood Drives!
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