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19112024_1

&

19112024_2

DONOR 1

Fullname

19112024_1

Country

US

Address

Eye Color

Brown

Hair Color

Light Brown

Height

5'6"

Ethnicity

White/Caucasian

Education

Bachelor’s degree

Hobbies

Bicycling, Eating, Working out/exercising, Watching TV or movies, Visiting with friends, Using a computer, Taking care of animals, Listening to music, Keeping pets, Reading, Camping, Cooking, Drawing/painting

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 

Creative Arts, Graphic Design, Marketing, Research, Problem Solving, Community Building

DONOR 2

Fullname

19112024_2

Country

US

Address

Eye Color

Green

Hair Color

Dark Brown

Height

5'8"

Ethnicity

White/Caucasian

Education

Bachelor’s degree

Hobbies

Listening to music, Hiking, Camping, Playing an instrument, Woodworking, Working out/exercising, Watching TV or movies, Visiting with friends, Using a computer, Reading, Eating, Cooking, Bicycling, Singing

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

Rock climbing, Musical Theatre, Travel, Math, Science, Trivia

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

No, thankfully all are healthy.
One daughter has a mild cat/dog allergy, but can still be around them. Otherwise no allergies.

BASIC INORMATION

Full name

19112024_1

19112024_2

Country

US

US

Address

Eye color

Brown

Green

Hair color

Light Brown

Dark Brown

Height

5'6"

5'8"

Ethnicity

White/Caucasian

White/Caucasian

Education

Bachelor’s degree

Bachelor’s degree

Hobbies

Bicycling, Eating, Working out/exercising, Watching TV or movies, Visiting with friends, Using a computer, Taking care of animals, Listening to music, Keeping pets, Reading, Camping, Cooking, Drawing/painting

Listening to music, Hiking, Camping, Playing an instrument, Woodworking, Working out/exercising, Watching TV or movies, Visiting with friends, Using a computer, Reading, Eating, Cooking, Bicycling, Singing

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

Creative Arts, Graphic Design, Marketing, Research, Problem Solving, Community Building

Rock climbing, Musical Theatre, Travel, Math, Science, Trivia

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

No, thankfully all are healthy.
One daughter has a mild cat/dog allergy, but can still be around them. Otherwise no allergies.

Photos

PHOTOS

EMBRYO

How many embryos do you wish to donate

What are the grades of the embryos?

2

4AB, 4AA

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

No

5-7 days

How long ago the embryos were created

Genetic mother’s age at the egg retrieval

Less than 10 years ago

Less than 35 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

Donor's grandparent

Anxiety

Asthma

Donor

Autism

Bipolar disorder

Cancer

Celiac disease

Cystic fibrosis

Depression

Diabetes

Donor's grandparent

Donor's grandparent

Epilepsy

Fibromyalgia

Fragile X syndrome

Heart conditions

Donor's grandparent

Hemochromatosis

High blood pressure

Donor's grandparent

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

Donor's grandparent

Anxiety

Asthma

Autism

Bipolar disorder

Cancer

Celiac disease

Cystic fibrosis

Depression

Diabetes

Donor's grandparent

Epilepsy

Fibromyalgia

Fragile X syndrome

Heart conditions

Donor's grandparent

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 

Donor

autism

bipolar disoder

cancer

celiac disease

cystic fibrosis

depression

diabetes

Donor's grandparent

epilepsy

fibromyalgia

fragile x syndrome

heart conditions

hemochromatosis

high blood pressure

Donor's grandparent

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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