Register Now

In 30 seconds, you can register here and become a donor hero. Help shorten transplant waiting lists – one organ and tissue donor can save eight lives and impact 75 others. It’s your chance to leave a timeless legacy.

First Name(Required)

Middle Name

Last Name(Required)

Suffix

Last 4 digits of SSN(Required)

Date of Birth(Required)

Gender(Required)

Male

Female

Other

Street Address*(Required)

Address Line 2

City*(Required)

Address(Required)

ZIP*(Required)

This registration is a binding, legal document of gift. You affirm the information provided is accurate. You agree upon death to donate all eligible organs and tissues for transplant.** You can update or remove your registration, or specify more detailed donation preferences, at any time by logging in to your donor registration record in the National Donate Life Registry at RegisterMe.org. View our privacy policy. The National Donate Life Registry is managed by Donate Life America.

**Per the Pennsylvania Uniform Anatomical Gift Act (UAGA), registration for organ, eye and tissue donation (anatomical gift) includes donation for transplantation only.