As a member of LifeSharers, I agree to donate my organs upon my death.  It is my express wish that my organs be donated first to members of the LifeSharers network, unless no LifeSharers member is a suitable match.  For each part of my body donated, I designate as donee that LifeSharers member who is the most suitable match as defined by the criteria in use by LifeSharers at the time of my death.  I retain the right to donate my organs to members of my family.

I understand that:

• LifeSharers is a non-profit organization.

• LifeSharers is not a licensed organ procurement organization.

• LifeSharers does not guarantee that organs will be available to LifeSharers members or from LifeSharers members.

• LifeSharers members are not eligible for preferred access to organs from other LifeSharers members until they have been a member for 180 days.

I agree to not hold LifeSharers, its directors, advisors, management, staff, agents, servants, and assigns liable in the event I do or do not receive any organ that becomes available from another LifeSharers member, and further to pay any and all fees, costs, judgments, including attorneys' fees, incurred in any lawsuit or legal proceeding I may bring in connection herewith.

I accept this agreement             No thanks