Blood Drive Planning Survey

We are taking the first step toward transforming lives!
Blood Drive Date: June 13, 2026

What do we all have in common that instantly connects us and gives us the power to do more? It’s the blood pulsing within each of us. This amazing, ever-replenishing gift is truly a natural resource that, when shared, speeds healing and provides comfort to those who depend on it.

If you meet the basic eligibility requirements below, please complete this form to have your name added to the list of those who want to transform the lives of others.

  • Must be at least 16 years old

  • Weigh at least 110 pounds

  • Be in good general health

If you have questions about your eligibility to give blood, please contact us at 877-258-4825 or visit vitalant.org/Donate/Donor-Eligibility.