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DONOR 1
Fullname
11072024
Country
USA
Address
Eye Color
Hazel
Hair Color
Dark Brown
Height
5'10"
Ethnicity
White/Caucasian
Education
Graduate degree
Hobbies
Working out/exercising, Woodworking, Playing an instrument, Listening to music, Reading, Writing, Gardening
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
- DIY guy, flipped properties on the side for a number of years...and still use my skills on our primary residence.
- Had a wine bar and small apartment building on a lake.
- In my past, I performed music and stand-up comedy as well as some low-level acting.
- Served on HOA and community association boards.
- Coached little league baseball.
- I was a practicing Catholic (weekly mass, volunteer work, etc.) until around 2015.
DONOR 2
Fullname
Anonymous Egg Donor
Country
USA (when I purchased the eggs)
Address
anonymous
Eye Color
Brown
Hair Color
Black
Height
5'2"
Ethnicity
Latino/Hispanic
Education
Some college
Hobbies
Working out/exercising, Going to church/temple
Anything else would you like to mention about your family medical history to the
Adoptive parent
Modeling, commercials, gymnastics, running, beauty pageant, and yoga.
Speak English, French, and Spanish.
**See donor document for full information.**
Anything else would you like to mention about your talents,skills,interests
BASIC INORMATION
Full name
11072024
Anonymous Egg Donor
Country
USA
USA (when I purchased the eggs)
Address
anonymous
Eye color
Hazel
Brown
Hair color
Dark Brown
Black
Height
5'10"
5'2"
Ethnicity
White/Caucasian
Latino/Hispanic
Education
Graduate degree
Some college
Hobbies
Working out/exercising, Woodworking, Playing an instrument, Listening to music, Reading, Writing, Gardening
Working out/exercising, Going to church/temple
Anything else would you like to mention about your talents, skills, interests
- DIY guy, flipped properties on the side for a number of years...and still use my skills on our primary residence.
- Had a wine bar and small apartment building on a lake.
- In my past, I performed music and stand-up comedy as well as some low-level acting.
- Served on HOA and community association boards.
- Coached little league baseball.
- I was a practicing Catholic (weekly mass, volunteer work, etc.) until around 2015.
Modeling, commercials, gymnastics, running, beauty pageant, and yoga.
Speak English, French, and Spanish.
**See donor document for full information.**
Anything else would you like to mention about your family medical history to the
adoptive parent
Photos
PHOTOS
EMBRYO
How many embryos do you wish to donate
What are the grades of the embryos?
3
4AB (male); 3AC (female); 4BC (male)
Have the embryos been genetically tested
Do you know the gender of the embryos
Yes
I did at the time in 2014 (please review embryology record)
Have the embryos from this batch resulted in a life birth
Age of embryos when they were frozen
No
Not sure
How long ago the embryos were created
Genetic mother’s age at the egg retrieval
Less than 10 years ago
Less than 25 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
Alzheimer
Anxiety
Asthma
Donor
Autism
Bipolar disorder
Cancer
Donor's parent, Donor's grandparent
Celiac disease
Cystic fibrosis
Depression
Diabetes
Donor's grandparent
Epilepsy
Fibromyalgia
Fragile X syndrome
Heart conditions
Hemochromatosis
High blood pressure
Donor's parent
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
Alzheimer
Anxiety
Asthma
Donor
Autism
Bipolar disorder
Cancer
Donor's parent, Donor's grandparent
Celiac disease
Cystic fibrosis
Depression
Diabetes
Donor's grandparent
Epilepsy
Fibromyalgia
Fragile X syndrome
Heart conditions
Hemochromatosis
High blood pressure
Donor's parent
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
rheumatoid arthritis
schizophrenia
stroke
substance abuse
Information on egg/sperm donor
Letter
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