Yes, I want to join Team SoCal. Please accept my application.

Organ, Tissue, Cornea Transplant Recipients

Living Donors

Donor Family

Tell Us

Emergency Contact

Athletes: If you plan to attend the 2016 Games, what sport(s) do you plan to compete in?
(check all that apply):

Badminton Ballroom Dancing Bowling Cornhole Cycling Darts
Golf Racquetball Swimming Table Tennis Tennis Texas Hold 'Em Track and Field
Trivia Challenge Virtual Triathlon Youth Olympiad Basketball Volleyball

As a Member of the Team, I hereby promise and agree that I:

  • Will remember that at all times I am a representative of my team, my state, and the participants of the Donate Life Transplant Games of America. I understand that my words and actions can reflect positively (or negatively) on those that I represent.
  • Will be cooperative and supportive of the team philosophy and goals;
  • Will be accountable for my role and responsibilities as a team member and to hold my fellow teammates mutually accountable;

By submitting this electronic application, I:

  • Do hereby, for myself, my heirs, executors and/or administrators, waive and release any and all claims for damages that may accrue against the Transplant Games-Team Southern California, Inc., all sponsors of fundraising events, any and all contributors, their employees, representatives, agents, and heirs from any and all injuries that may be suffered by me at, or in route to or from any and all activities related to my participation in the Donate Life Transplant Games of America or team activities, including but not limited to the Games.
  • Release the rights to my team manager and Transplant Games-Team Southern California, Inc. and Donate Life California, to use any information and/or photographic material, motion picture, videotape, recording and/or computer information organized for the purpose of promoting my team in conjunction with the Games prior to, during, and after the Event, without any obligation to me.

Name of Parent or Legal Guardian, if applicant is under 18 years of age this must be completed to be a valid application.

Please accept my membership application. (Print this Membership Application Form before clicking the Submit Button.)

Make check payable to: Transplant Games - Team Southern California, Inc.

Please mail your check for the appropriate membership level and a printed copy of your membership application to: Team SoCal Transplant Games, c/o Debbie Morgan, 6870 Jones Ave., Riverside, CA 92505. This information will be kept confidential.

2016 TGA Sports