Donor Registration Information

All information submitted will be used only for official Registry business and will be kept completely confidential. We will not share, sell or otherwise compromise this information. For more information, please read our Security and Privacy Policy.

If you are between 13 and 17 years old, you can join the Donate Life DC registry to indicate your wishes, but your parents will make the final decision about organ and tissue donation at the appropriate time. When you turn 18 your choice to be a donor becomes a legal decision.

A ( * ) indicates a required field.
Gender is required.
Last Name is required.
Birth Date is required.
Address is required.
District of Columbia
Please enter a D.C. Zip Code.
If you do not enter an email address you won't receive a confirmation of your request.
Place of birth is required.

At a later date, you may wish to update your donor profile. So that you may log into your donor profile, please provide an account password below.

(Retype Password)
Passwords must be at least 6 characters long and contain a letter and a number.
Donation Limitations

Would you like to specify donation limitations? A donation limitation is a particular donation you wish to exclude from the Registry and explicitly states you do NOT give your legal consent for those organs and/or tissues to be recovered. Limitations may include: heart, lungs, liver, kidneys, pancreas, bowel, eyes/cornea, skin grafts, heart for valves, bones and connective soft tissue (i.e.; tendons) and the use of each organ or tissue can be limited. If you check a box it means do not use for that purpose; if you leave it unchecked it may be recovered.

By submitting this registration I affirm that I am the applicant described on this application and that the information entered herein is true and correct to the best of my knowledge. This registration will serve as a document of gift as outlined in the District of Columbia Uniform Anatomical Gift Act. A document of gift, not revoked by the donor before death, is irreversible and does not require the consent of any other person. It also authorizes any examination necessary to ensure the medical acceptability of the anatomical gift.

To register online you must accept the terms above.