LifeGift and United Airlines Wings of Hope Staff Education Campaign

Welcome, United Airlines staff. Throughout the month of June, you have the opportunity to heal and save lives by having conversations about donation and transplantation, and encouraging your friends and family to sign up to be organ and tissue donors.

By joining the Donate Life Texas donor registry, you give hope to thousands of people awaiting the transplant they need to survive.

It takes only moments, yet it means a second chance at life.

Please register below.

Spread the word

https://donatelifetexas.org/lifegiftwingsofhopecampaign/

Register As A Donor

Gender*

male female

First Name*

Middle Name

Last Name*

Date of Birth (ex: MM/DD/YYYY)*

Most Recent Address*

City*

State*

Not from Texas? Visit Donate Life America to find the registry for your state.

ZIP Code*

Phone

E-mail Address*

Place of Birth (City, State)

Ethnicity

PLEASE PROVIDE ONE OF THE FOLLOWING:

SSN# (Last Four Digits)

Texas Driver License/Personal ID:

Mother's Maiden Name

How did you learn about the Texas Donor Registry?

Please Specify

I would like to donate:

all organs and tissues for transplant and for research, education or therapy purposes if they are determined unsuitable for transplant
all organs and tissues for transplant only
to specify my gift of donation on the next page

Have you signed up for a Body Donation Program? If so, please indicate which program:

Electronic Signature Certification
I understand this online registration remains binding after my death. I do solemnly swear, affirm or certify that I am the applicant described in application, and that the information entered herein is true and correct. By clicking the submit button I affirm that I wish to be a potential organ donor and/or tissue donor upon my death.

Yes, I accept the Electronic Signature Certification.

Donate Life Texas

Registered Donors

Transplant Waiting List

Spread the word