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27112025

&

Sperm Donor

DONOR 1

Fullname

27112025

Country

United States

Address

Eye Color

Brown

Hair Color

Black

Height

5’3

Ethnicity

Asian

Vietnamese

Education

High school

Hobbies

Beauty and hair care, Cooking, Collecting things, Eating, Drawing/painting, Fishing, Gardening, Listening to music, Photography, Singing

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

I get seasonal allergies each year. My son has delayed speech from side effect wearing ear tubes 4 years so the doctor put him under the autism category so he can qualify for support and services. He had ear infection so many times so he need tubes and he done now.

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

DONOR 2

Fullname

Sperm Donor

Country

USA

Address

Eye Color

Brown

Hair Color

Dark Brown

Height

Ethnicity

Caucasian/Asian

English,French,German/Irish,Japanese,Vietnamese

Education

B.S. Biomedical Engineering, Pre Med/Student, Camp Counselor

Hobbies

sports, Writing, Singing

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

27112025

Sperm Donor

Country

United States

USA

Address

Eye color

Brown

Brown

Hair color

Black

Dark Brown

Height

5’3

Ethnicity

Asian

Vietnamese

Caucasian/Asian

English,French,German/Irish,Japanese,Vietnamese

Education

High school

B.S. Biomedical Engineering, Pre Med/Student, Camp Counselor

Hobbies

Beauty and hair care, Cooking, Collecting things, Eating, Drawing/painting, Fishing, Gardening, Listening to music, Photography, Singing

sports, Writing, Singing

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

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

I get seasonal allergies each year. My son has delayed speech from side effect wearing ear tubes 4 years so the doctor put him under the autism category so he can qualify for support and services. He had ear infection so many times so he need tubes and he done now.

Photos

PHOTOS

EMBRYO

How many embryos do you wish to donate

What are the grades of the embryos?

4

4BB,3BB,6AA,4BB

Have the embryos been genetically tested

Do you know the gender of the embryos

Yes

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 10 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

Alzheimer

Anxiety

Asthma

Donor

Autism

Bipolar disorder

Cancer

Donor's parent

Donor's grandparent

Celiac disease

Cystic fibrosis

Depression

Diabetes

Donor's parent

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

Tay-Sachs disease

Medical Histroy

DONOR 1

Allergy

Alzheimer

Anxiety

Asthma

Autism

Bipolar disorder

Cancer

Donor's parent

Celiac disease

Cystic fibrosis

Depression

Diabetes

Donor's parent

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

DONOR 2

allergy

alzheimer

anxiety

asthma 

Donor

autism

bipolar disoder

cancer

Donor's grandparent

celiac disease

cystic fibrosis

depression

diabetes

Donor's grandparent

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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