Transplant Games - Team NorCal Registration

Please Note
Due to concerns about the COVID-19 virus, the Transplant Games of America have decided to postpone the 2020 Transplant Games. The new dates are July 16 - July 21, 2021. Registration will re-open in the coming weeks.  All existing registrations remain valid for the 2021 dates. Thank you for your understanding and patience during these difficult times.

If you have questions regarding Team NorCal, please email:  events@dnwest.org
Welcome to Team NorCal!

The 2021 Donate Life Transplant Games of America will be held July 16-21 in Meadowland, New Jersey, and we are so excited for you to be part of Team NorCal.  We welcome organ, bone marrow, cornea and tissue transplant recipients, donor families, and friends/family members of the transplant community from Northern California to join us.

Registration for the Transplant Games of America (TGA) will re-open soon and continues through July 16th, 2021 for supporters. We encourage you to consider making a commitment to Team NorCal by June 1st, 2021. We prefer a commitment by then because we NEED to block hotel rooms and order uniforms (shirts, pins, etc). New team members can "technically" join up through June, but we can't guarantee the full team benefits of being in the same hotel, uniforms and the like.  It helps us out if you make your decision and commit to join the team well in advance. Plus, you'll want to help raise funds and get to know your teammates!

Please Note
You must register with the TGA prior to registering for Team NorCal.  Please click the link below to be taken to their website and registration form. 
Transplant Games of America
Once you have completed your registration with the TGA, please return here and complete your Team NorCal Registration.

Your Information



Please provide us with the name of the person you are attending the games for























Finances


Scholarships
Team NorCal will give away scholarships in increments of $500, $1,000 and $1,500.
Scholarships are prioritized by Donor Families, then recipients, followed by supporters and are given at Team NorCal's discretion.

To be eligible for scholarship:
  • Applicants must have filled out the online Team NorCal application and requested financial assistance.
  • Applicants must pay our Team NorCal fee by May 1st, 2021
  • Applicants must attend the 2021 Donate Life Transplant Games of America being held in Meadowlands, New Jersey, July 16-21, 2021
  • Applicants must attend Team NorCal "meet and greet" event to build relationships with other team members prior to the Games.
  • Families applying for the Team NorCal scholarship must have authorized donation on behalf of their loved one or supported their loved one's donor designation through Donor Network West.
  • Applicants attending The Games should be comfortable speaking to the media and much report to media opportunities on a timely basis, should any arise.
Scholorships will be announced on May 11th, 2021. Funds will be awarded after the games on August 3rd, 2021.

*If awarded a scholarship, applicants will be asked to submit receipts (ex. flight, hotel, rental car, etc.) so please keep all receipts from the Transplant Games
Events





News Media, Promotional Materials, Written Articles, Photographs and/or Video

 I hereby authorize the use of photographs, video and/or the public release of information regarding the donation, recovery and/or transplant of organs and/or tissues by Donor Network West for permitted uses, e.g., dissemination to Donor Network West or hospital staff, physicians, health professionals, and members of the public for educational, treatment, research, scientific, public relations, marketing, news media, and charitable purposes. 

     I warrant that I am over the age of eighteen (18) and otherwise authorized to release the use of photographs, video and/or information regarding the donation, recovery and/or transplant of organs and/or tissues to Donor Network West for the permitted uses.  I authorize the use or disclosure of such photographs, videos and/or information in order to assist scientific, treatment, educational, public relations, marketing, news media, and charitable goals, and I hereby waive any right to compensation for such uses by reason of the foregoing authorization.  I and my successors or assigns hereby hold Donor Network West, its employees, officers and agents, and their successors and assigns harmless from and against any claim for injury or compensation resulting from the activities authorized by this agreement. 

     I may rescind this Authorization up until a reasonable time before any photographs, video or information are used, but I must do so in writing and submit it to:  Donor Network West, 12667 Alcosta Blvd. Suite 500 San Ramon, CA 94583. 

     I have a right to receive a copy of this Authorization. 

     Information disclosed pursuant to this Authorization could be re-disclosed by the recipient.  Such re-disclosure is in some cases not protected by California law and may no longer be protected by federal confidentiality law (HIPAA).



Payment Information
Please note: While each participant will need a separate registration form completed due to the Consent sign off, you can pay the registration fees for all of your participants in one transaction if you prefer. Please be sure to list all the names that the transaction covers. 

If you are paying for multiple participants in one transaction, this section only needs to be completed on one registration form.  Please check the box below if you have already entered this information on a previous registration form.





$




$




$


$

Pay by Credit
Click this link and you'll be taken to our Contributions page where you can pay your registration fee(s) by Paypal or Credit Card. Please be sure to add Team NorCal in the "Add a note" section, so your payment can be matched to your registration form.  
Pay by Check
Please make check payable to Donor Network West.
Team NorCal needs to be written in the memo field.
Mail the check to:

Donor Network West
attn: Team NorCal
12667 Alcosta Blvd, Suite 500
San Ramon, CA 94583