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Donor's signature: ___________________________________ Date: ___/___/___
I, _____(Donor)_____ here by consent to give my blood. Any pain,
allergic reaction, infection, loss of blood, injury and/or harm
acquired is solely my responsibility and not the fault of the receiver,
_____(Receiver)______. I ____(Donor)____ hereby wave all rights
to sue, or try to receive compensation for any actions which may
result in minor or serious injury from _____(Receiver)____.
Receiver's signature: __________________________________ Date: ___/___/___