Joey Gase Fans For Life

For NASCAR driver Joey Gase, racing is about more than a checkered flag and the roar of the crowd. He was only 18 when his mother, Mary Jo became an organ & tissue donor. Today, he races in her honor and is as passionate about promoting organ, eye and tissue donation as he is about racing.

Racing Fans For Life are invited to join the Donate Life Texas donor registry in celebration of their decision to save lives as organ, eye and tissue donors. With more than 10,000 Texans currently awaiting transplants and nearly 109,000 waiting in the U.S. the race for life is on!

Not from Texas? No problem! Just click here to register with Joey’s national registration page.

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https://www.donatelifetexas.org/es/gase/

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.

Joey Gase Fans For Life

Spread the word

Register as a donor

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