Take Action

Donate to Team Ohio

or Join Team Ohio Transplant Athletics

Donate

Donate to Team Ohio using the above button. Your generosity and support for Team Ohio Transplant Athletics is greatly appreciated.

Want to Join Team Ohio Transplant Athletics? Just fill out this form or download the member form to mail in and we will get right back to you.

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

Phone Number

(###)

###

####

Email Address

Preferred Method of Contact?

First Game Participant?

Yes

Transplant Recipient?

Yes

Type of Last Transplant

Month/Year (xx/xxxx) of Last Transplant

YYYY

Transplant Hospital

Donor Family?

Yes

Name of Donor/Year Donated

Living Donor?

Yes

Month/Year (xx/xxxx) of Donation

YYYY

Organ Donated

Supporter?

Yes

Connection to Donation

Transplant Professional?

Yes

Location/Profession