A parent or legal guardian must authorize an organ, eye or tissue donation for anyone under the age of 18.
Teenagers 15–17 years old can register their intent to be an organ, eye and tissue donor here or at the DMV when they register for a drivers license.
Parents cannot pre-register a minor child on a registry (like Donate Life or the DMV system).
What parents and legal guardians can do is:

More information on pediatric transplantation can be found at the Organ Procurement and Transplantation Network and at Donate Life America.
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