Required fields are marked with an asterisk ( * ).

  1. You must select a gender.


  2. For proper identification, please enter your name as it appears on your South Carolina Driver's License or ID Card. If you do not have a South Carolina Driver's License or ID Card, please enter your name as it appears on your Social Security card.
    First Name is required.
  3. Last Name is required.
  4. Birth Date is required.
  5. Mother's maiden name required.
  6. Address is required.
  7. City is required.
  8. State is required.
  9. Zip must contain 5 numeric digits.
  10. You must enter a valid email address
    Email used for confirmation only
  11. DL# is not required, but highly recommended
  12. ** We ask for each registrant to identify their ethnicity as a way to monitor our effectiveness at encouraging people from all of South Carolina's diverse communities to sign up with the registry. Organs are allocated anonymously according to medical criteria, such as blood type and size/weight compatibility. Transplant recipients have no control or advance knowledge of the age, race, gender or ethnicity of their deceased donor. Regardless of who the donor is, all transplant recipients are thankful to receive the gift of life.


  13.  
  14. 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. Passwords must be at least 6 characters long and contain one alpha letter. Please make a note of your registration ID and password. You will need it if you ever want to update your registration information.
    Password is required





  15. Organs

    Eyes

    Tissue















  16. Other Donation Options



    You must select yes or no for other donation options.
  17. You must accept the terms.

  18. Continue to Step 2 »