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DONOR 1
Fullname
6012024_1
Country
United States
Address
Eye Color
Blue
Hair Color
Light Brown
Height
5’2”
Ethnicity
White/Caucasian
Education
Bachelor’s degree
Hobbies
Cooking, Gardening, Listening to music, Photography, Playing sports, Taking care of animals
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
2nd degree black belt in Kempo
All American Gymnast at a division 1 university
DONOR 2
Fullname
6012024_2
Country
United States
Address
Eye Color
Hazel
Hair Color
Grey
Height
6'1"
Ethnicity
White/Caucasian
Education
Some college
Hobbies
Hunting, Listening to music, Working out/exercising, Drawing/painting, Camping, Fishing, Playing an instrument
Anything else would you like to mention about your family medical history to the
Adoptive parent
2nd degree black belt in Kempo
Anything else would you like to mention about your talents,skills,interests
BASIC INORMATION
Full name
6012024_1
6012024_2
Country
United States
United States
Address
Eye color
Blue
Hazel
Hair color
Light Brown
Grey
Height
5’2”
6'1"
Ethnicity
White/Caucasian
White/Caucasian
Education
Bachelor’s degree
Some college
Hobbies
Cooking, Gardening, Listening to music, Photography, Playing sports, Taking care of animals
Hunting, Listening to music, Working out/exercising, Drawing/painting, Camping, Fishing, Playing an instrument
Anything else would you like to mention about your talents, skills, interests
2nd degree black belt in Kempo
All American Gymnast at a division 1 university
2nd degree black belt in Kempo
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?
1
2ab
Have the embryos been genetically tested
Yes
Do you know the gender of the embryos
girl
Have the embryos from this batch resulted in a life birth
Age of embryos when they were frozen
Yes
Not sure
How long ago the embryos were created
Genetic mother’s age at the egg retrieval
Less than 10 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's parent
Donor
Alzheimer
Anxiety
Asthma
Donor
Autism
Bipolar disorder
Cancer
Celiac disease
Cystic fibrosis
Depression
Donor's parent
Diabetes
Donor, Donor's parent
Epilepsy
Fibromyalgia
Fragile X syndrome
Heart conditions
Donor's grandparent
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's parent
Alzheimer
Anxiety
Asthma
Autism
Bipolar disorder
Cancer
Celiac disease
Cystic fibrosis
Depression
Donor's parent
Diabetes
Epilepsy
Fibromyalgia
Fragile X syndrome
Heart conditions
Donor's grandparent
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
Donor
alzheimer
anxiety
asthma
Donor
autism
bipolar disoder
cancer
celiac disease
cystic fibrosis
depression
diabetes
Donor, Donor's parent
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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