Parental Consent Form for Minor Blood Donation
Minor Donor Information
Full Name
Date of Birth
Address
Phone Number
Parent/Guardian Information
Full Name
Relationship to Minor
Address
Phone Number
Consent
I hereby give my consent for the above-named minor to donate blood as part of the blood donation program. I have read and understood the information provided about blood donation, its purpose, potential risks, and benefits.
Parent/Guardian Signature
Date