Angels Blood Drive Appointment Request Form

UC Irvine Medical Center and Angels Baseball are partnering for our annual holiday blood drives which will take place on December 20 & 21 at Angel Stadium. These blood drives will ensure we have an adequate supply during the holidays when shortages often occur. UC Irvine Medical Center is Orange County's only Level 1 Trauma Center and transfuses approximately 1,000 units of blood to our patients each month. On donation days, UC Irvine’s blood mobile will be parked near the stadium ticket office and the giant red Angels helmets from 8am to 2pm. **** Please note: DUE TO CONSTRUCTION NEAR THE STADIUM- YOU WILL NEED TO ENTER LOT FROM WORLD CHAMPION WAY WHICH IS OFF OF ORANGEWOOD PAST THE NORMAL ENTRANCE AND AT THE LIGHT.

Please make sure it has been at least 56 days since your last blood donation. Everyone who donates will receive an exclusive Angels t-shirt and a gift certificate for a pint of Baskin Robbins ice cream. Appointments are limited and only appointments made with a valid email address will be accepted. If you do not receive an email confirmation within 30 minutes of making your appointment, your email address was not accepted and your appointment was not booked.

NEW THIS YEAR-All 17 year old donors are required to bring a consent form signed by their parent or guardian. If you are 17, please email me at tbarrett@uci.edu and I will forward the consent form to you. If your parent will be attending the blood drive you can pick up one up there.View more information on who can donate »

Please complete and submit this online donor form. Appointments are currently available only for the dates and times shown.

 
Fields with * are required.
 
 
YOUR INFORMATION  - PLEASE ENTER YOUR LEGAL NAME
 
First Name:*
 
Nick Name:
 
Middle Name / Middle Initial:
 
Last Name:*
 
Date of Birth:*
Format: (mm/dd/yyyy)     
 
Suffix:
 
Gender:*
 
Email:*
 
Confirm Email:*
 
Preferred Phone:*
 
Phone:*
 
APPOINTMENT INFORMATION
 
Blood Type:
 
Appointment Date:*
 
Appointment Time:*