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30122025_1

&

30122025_2

DONOR 1

Fullname

30122025_1

Country

United States

Address

Eye Color

Blue

Hair Color

Blond

Height

5’3”

Ethnicity

White/Caucasian

Education

Graduate degree

Hobbies

Beauty and hair care, Cooking, Eating, Gardening, Hiking, Listening to music, Playing an instrument, Playing sports, Taking care of people, Visiting with friends, Watching TV or movies, Working out/exercising

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

My son has high functioning ASD

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

Surfing

DONOR 2

Fullname

30122025_2

Country

USA

Address

Eye Color

Blue

Hair Color

Dark Brown

Height

6'4

Ethnicity

White/Caucasian

Education

Bachelor's Degree

Hobbies

Being a leader of a group, Bicycling, Camping, Collecting things, Drawing/painting, Eating, Listening to music, Photography, Taking care of people, 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

30122025_1

30122025_2

Country

United States

USA

Address

Eye color

Blue

Blue

Hair color

Blond

Dark Brown

Height

5’3”

6'4

Ethnicity

White/Caucasian

White/Caucasian

Education

Graduate degree

Bachelor's Degree

Hobbies

Beauty and hair care, Cooking, Eating, Gardening, Hiking, Listening to music, Playing an instrument, Playing sports, Taking care of people, Visiting with friends, Watching TV or movies, Working out/exercising

Being a leader of a group, Bicycling, Camping, Collecting things, Drawing/painting, Eating, Listening to music, Photography, Taking care of people, Watching TV or movies

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

Surfing

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

My son has high functioning ASD

Photos

PHOTOS

EMBRYO

How many embryos do you wish to donate

What are the grades of the embryos?

2

3AA, 3AB, 4BB

Have the embryos been genetically tested

Do you know the gender of the embryos

Yes

male

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 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, Donor's parent

Alzheimer

Anxiety

Donor's parent

Asthma

Autism

Donor child

Donor child

Bipolar disorder

Cancer

Donor's grandparent

Celiac disease

Cystic fibrosis

Depression

Donor's parent

Diabetes

Epilepsy

Fibromyalgia

Fragile X syndrome

Heart conditions

Donor's parent

Donor's parent

Hemochromatosis

High blood pressure

Donor's parent

Huntington’s disease

Lupus

Marfan syndrome

Multiple sclerosis

Obesity

Donor, Donor's parent, Donor's grandparent

Phenylketonuria

Polycystic kidney disease

Rheumatoid arthritis

Schizophrenia

Stroke

Donor's parent

Substance abuse

Donor's parent

Tay-Sachs disease

Medical Histroy

DONOR 1

Allergy

Donor, Donor's parent

Alzheimer

Anxiety

Donor's parent

Asthma

Autism

Donor child

Bipolar disorder

Cancer

Donor's grandparent

Celiac disease

Cystic fibrosis

Depression

Donor's parent

Diabetes

Epilepsy

Fibromyalgia

Fragile X syndrome

Heart conditions

Donor's parent

Hemochromatosis

High blood pressure

Huntington’s disease

Lupus

Marfan syndrome

Multiple sclerosis

Obesity

Phenylketonuria

Polycystic kidney disease

Rheumatoid arthritis

Schizophrenia

Stroke

Donor's parent

Substance abuse

Donor's parent

DONOR 2

allergy

alzheimer

anxiety

asthma 

autism

Donor child

bipolar disoder

cancer

celiac disease

cystic fibrosis

depression

diabetes

epilepsy

fibromyalgia

fragile x syndrome

heart conditions

Donor's parent

hemochromatosis

high blood pressure

Donor's parent

huntington's disease

lupus

marfan syndrome

multiple sclerosis

obesity

Donor, Donor's parent, Donor's grandparent

phenylketonuria

polycystic kidney disease

rheumatoid arthritis

schizophrenia

stroke

substance abuse

Information on egg/sperm donor

Letter

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