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California Parent Consent Form for Minor Blood Donating Mobile App

This form gives the parents consent for their child age 16 or older to participate in a blood donation. This comprehensive app includes important reminders, signatures and all the information the blood donor (and their parent) need.

  • Lendlease
  • The Cooperative
  • PG&E
  • Red Bull
  • Mirvac

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Take a peek inside the California Parent Consent Form for Minor Blood Donating Mobile App

Included Features

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Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico statictext

    -year-olds must bring a Parent Consent Form signed by your parent or guardian.

  • Ico statictext

    Thank you for providing your consent for your child to donate blood.

  • Ico statictext

    We will ask your son or daughter questions about his or her health, medication use, sexual behavi...

  • Ico statictext

    • I understand that BloodSource will maintain the confidentiality of information obtained about a...

  • Ico textbox

    I do hereby give my consent for (Donor’s Full Name)

  • Ico date

    at his or her discretion, to donate blood to BloodSource on (Date)

  • Ico textbox

    Blood Donor ID #

  • Ico integer

    Donors Age

  • Ico date

    Donors Date of Birth

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    Bring a picture I.

  • Ico statictext

    Who can give blood?

  • Ico statictext

    acne, but wait one month after having taken Accutane, Amnesteem, Claravis or Sotret (isotretinoin).

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    During and after giving blood, most donors feel fine.

  • Ico signature

    Parent/Gaurdian Signature

  • Ico date


  • ...and More!

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