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03052026_1

&

Sperm Donor

DONOR 1

Fullname

03052026_1

Country

USA

Address

Eye Color

Hazel

Hair Color

Dark Brown

Height

5'7"

Ethnicity

White/Caucasian

Education

Bachelor’s degree

Hobbies

Belonging to a club, Reading, Listening to music, Keeping pets, Singing, Visiting with friends, Using a computer, Taking care of people, Taking care of animals, Watching TV or movies, Working out/exercising, Sewing/knitting

Anything else would you like to mention about your family medical history to the
Adoptive parent

My heart condition is not genetic, it was something I was born with and as a fluke, didn't go away.

Anything else would you like to mention about your talents,skills,interests 

I danced ballet from the age of 3 until 25 and then helped stage manage shows for my ballet company.

DONOR 2

Fullname

Sperm Donor

Country

USA

Address

N/A

Eye Color

Green

Hair Color

Blond

Height

5'10"

Ethnicity

White/Caucasian

Education

Bachelor’s degree

Hobbies

Working out/exercising, Playing sports, Horseback riding, Hiking, Fishing, Keeping pets, Bicycling, Taking care of animals, Camping

Anything else would you like to mention about your family medical history to the
Adoptive parent

Anything else would you like to mention about your talents,skills,interests 

BASIC INORMATION

Full name

03052026_1

Sperm Donor

Country

USA

USA

Address

N/A

Eye color

Hazel

Green

Hair color

Dark Brown

Blond

Height

5'7"

5'10"

Ethnicity

White/Caucasian

White/Caucasian

Education

Bachelor’s degree

Bachelor’s degree

Hobbies

Belonging to a club, Reading, Listening to music, Keeping pets, Singing, Visiting with friends, Using a computer, Taking care of people, Taking care of animals, Watching TV or movies, Working out/exercising, Sewing/knitting

Working out/exercising, Playing sports, Horseback riding, Hiking, Fishing, Keeping pets, Bicycling, Taking care of animals, Camping

Anything else would you like to mention about your talents, skills, interests

I danced ballet from the age of 3 until 25 and then helped stage manage shows for my ballet company.

Anything else would you like to mention about your family medical history to the
adoptive parent

My heart condition is not genetic, it was something I was born with and as a fluke, didn't go away.

Photos

PHOTOS

EMBRYO

How many embryos do you wish to donate

What are the grades of the embryos?

5

4AA, 3AA, 4BA, 4BA, 4CB

Have the embryos been genetically tested

Do you know the gender of the embryos

No

No

Have the embryos from this batch resulted in a life birth

Age of embryos when they were frozen

Yes

5-7 days

How long ago the embryos were created

Genetic mother’s age at the egg retrieval

Less than 5 years ago

Less than 30 years old

Have the embryos from this batch been already donated to another adoptive parent

No

Embryo

MEDICAL HISTORY

DONOR 1

DONOR 2

Allergy

Donor, Donor child, Donor's parent, Donor's grandparent

Donor

Alzheimer

Donor's parent

Anxiety

Donor

Asthma

Donor

Autism

Bipolar disorder

Cancer

Celiac disease

Cystic fibrosis

Depression

Diabetes

Donor's grandparent

Epilepsy

Fibromyalgia

Fragile X syndrome

Heart conditions

Donor

Hemochromatosis

High blood pressure

Huntington’s disease

Lupus

Marfan syndrome

Multiple sclerosis

Obesity

Phenylketonuria

Polycystic kidney disease

Rheumatoid arthritis

Schizophrenia

Stroke

Substance abuse

Tay-Sachs disease

Medical Histroy

DONOR 1

Allergy

Donor, Donor child, Donor's parent, Donor's grandparent

Alzheimer

Donor's parent

Anxiety

Donor

Asthma

Donor

Autism

Bipolar disorder

Cancer

Celiac disease

Cystic fibrosis

Depression

Diabetes

Donor's grandparent

Epilepsy

Fibromyalgia

Fragile X syndrome

Heart conditions

Donor

Hemochromatosis

High blood pressure

Huntington’s disease

Lupus

Marfan syndrome

Multiple sclerosis

Obesity

Phenylketonuria

Polycystic kidney disease

Rheumatoid arthritis

Schizophrenia

Stroke

Substance abuse

DONOR 2

allergy

Donor

alzheimer

anxiety

asthma 

autism

bipolar disoder

cancer

celiac disease

cystic fibrosis

depression

diabetes

epilepsy

fibromyalgia

fragile x syndrome

heart conditions

hemochromatosis

high blood pressure

huntington's disease

lupus

marfan syndrome

multiple sclerosis

obesity

phenylketonuria

polycystic kidney disease

rheumatoid arthritis

schizophrenia

stroke

substance abuse

Information on egg/sperm donor

Letter

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