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Annie DeClercq

&

Will DeClercq

DONOR 1

Fullname

Annie DeClercq

Country

USA

Address

5419 Rentschler Estates Dr Fairfield Twp OH 45011

Eye Color

Blue

Hair Color

Light Brown

Height

5’5

Ethnicity

White/Caucasian

Education

Graduate degree

Hobbies

Cooking, Gardening, Reading, Visiting with friends

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

I am not the biological donor of the eggs, so this information is about me, not the donor.

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

I love to be outside and explore new places with my family. I’m also an avid NFL fan, supporting my local team.

DONOR 2

Fullname

Will DeClercq

Country

United States

Address

5419 Rentschler Estates Dr Fairfield Twp, OH 45011

Eye Color

Blue

Hair Color

Blond

Height

6'0

Ethnicity

White/Caucasian

Education

Graduate degree

Hobbies

Listening to music, Taking care of animals, Working out/exercising, Cooking

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

I enjoy learning new things, fixing things around the house and doing projects. We spend time as a family doing new experiences.

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

BASIC INORMATION

Full name

Annie DeClercq

Will DeClercq

Country

USA

United States

Address

5419 Rentschler Estates Dr Fairfield Twp OH 45011

5419 Rentschler Estates Dr Fairfield Twp, OH 45011

Eye color

Blue

Blue

Hair color

Light Brown

Blond

Height

5’5

6'0

Ethnicity

White/Caucasian

White/Caucasian

Education

Graduate degree

Graduate degree

Hobbies

Cooking, Gardening, Reading, Visiting with friends

Listening to music, Taking care of animals, Working out/exercising, Cooking

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

I love to be outside and explore new places with my family. I’m also an avid NFL fan, supporting my local team.

I enjoy learning new things, fixing things around the house and doing projects. We spend time as a family doing new experiences.

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

I am not the biological donor of the eggs, so this information is about me, not the donor.

Photos

PHOTOS

EMBRYO

How many embryos do you wish to donate

What are the grades of the embryos?

3

2- 3BB, 1- 4AA

Have the embryos been genetically tested

Do you know the gender of the embryos

No

no

Have the embryos from this batch resulted in a life birth

Age of embryos when they were frozen

Yes

How long ago the embryos were created

Genetic mother’s age at the egg retrieval

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

Donor

Alzheimer

Anxiety

Donor, Donor child, Donor's parent, Donor's grandparent

Donor, Donor's parent, Donor's grandparent

Asthma

Donor

Autism

Bipolar disorder

Cancer

Donor's grandparent

Donor's parent, Donor's grandparent

Celiac disease

Cystic fibrosis

Depression

Donor's parent

Donor

Diabetes

Donor's parent, Donor's grandparent

Donor's grandparent

Epilepsy

Fibromyalgia

Fragile X syndrome

Heart conditions

Donor, 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

Donor, Donor's parent

Substance abuse

Tay-Sachs disease

Medical Histroy

DONOR 1

Allergy

Donor, Donor's parent

Alzheimer

Anxiety

Donor, Donor child, Donor's parent, Donor's grandparent

Asthma

Autism

Bipolar disorder

Cancer

Donor's grandparent

Celiac disease

Cystic fibrosis

Depression

Donor's parent

Diabetes

Donor's parent, Donor's grandparent

Epilepsy

Fibromyalgia

Fragile X syndrome

Heart conditions

Donor, 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

Donor, Donor's parent, Donor's grandparent

asthma 

Donor

autism

bipolar disoder

cancer

Donor's parent, Donor's grandparent

celiac disease

cystic fibrosis

depression

Donor

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

Donor, Donor's parent

substance abuse

Information on egg/sperm donor

Letter

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