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09022024_1

&

09022024_2

DONOR 1

Fullname

09022024_1

Country

United States

Address

Eye Color

Hazel

Hair Color

Light Brown

Height

5ft 9in

Ethnicity

White/Caucasian

Education

Some college

Hobbies

Beauty and hair care, Collecting things, Cooking, Drawing/painting, Eating, Gardening, Listening to music, Photography, Sewing/knitting, Singing, Taking care of animals, Taking care of people, Visiting with friends, Watching TV or movies

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

I have scoliosis and mild spinal canal stenosis which is hereditary

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

I like doing artistic things, projects and housework.

DONOR 2

Fullname

09022024_2

Country

USA

Address

Eye Color

Brown

Hair Color

Dark Brown

Height

5ft 9in

Ethnicity

White/Caucasian

Education

Some college

Hobbies

Listening to music, Motocross, Playing sports, Playing video games, Visiting with friends, Watching TV or movies

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

09022024_1

09022024_2

Country

United States

USA

Address

Eye color

Hazel

Brown

Hair color

Light Brown

Dark Brown

Height

5ft 9in

5ft 9in

Ethnicity

White/Caucasian

White/Caucasian

Education

Some college

Some college

Hobbies

Beauty and hair care, Collecting things, Cooking, Drawing/painting, Eating, Gardening, Listening to music, Photography, Sewing/knitting, Singing, Taking care of animals, Taking care of people, Visiting with friends, Watching TV or movies

Listening to music, Motocross, Playing sports, Playing video games, Visiting with friends, Watching TV or movies

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

I like doing artistic things, projects and housework.

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

I have scoliosis and mild spinal canal stenosis which is hereditary

Photos

PHOTOS

EMBRYO

How many embryos do you wish to donate

What are the grades of the embryos?

1

Not sure

Have the embryos been genetically tested

No

Do you know the gender of the embryos

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 2 years ago

Less than 40 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 child

Alzheimer

Anxiety

Asthma

Donor's parent

Autism

Bipolar disorder

Cancer

Celiac disease

Cystic fibrosis

Depression

Diabetes

Epilepsy

Fibromyalgia

Donor's parent

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

Tay-Sachs disease

Medical Histroy

DONOR 1

Allergy

Donor child

Alzheimer

Anxiety

Asthma

Donor's parent

Autism

Bipolar disorder

Cancer

Celiac disease

Cystic fibrosis

Depression

Diabetes

Epilepsy

Fibromyalgia

Donor's parent

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

DONOR 2

allergy

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