The following is a wish list for those interested in Embryo Adoption. Please review the information and give serious consideration to those traits that may or may not be important to you.
First Name
(please provide): |
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Last Name
(please provide): |
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Address 1: |
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Address 2: |
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City: |
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State: |
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Zip Code: |
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Country: |
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Phone Number: |
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E-Mail (please provide) |
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Preferred Location: |
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| Please indicate the characteristics
that you prefer in the Mother of the embryo: |
1. Mother Ethnicity |
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2. Mother Religion |
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3. Mother Ancestry |
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4. Mother Eye Color |
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5. Mother
Hair Color |
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6. Mother
Hair Type |
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7. Mother Skin Tone |
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8. Mother
Freckles |
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9. Mother Height |
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10. Mother Build |
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11. Mother
Education |
|
| |
| Please indicate the characteristics
that you prefer in the Father of the embryo: |
1. Father Ethnicity |
|
2. Father Religion |
|
3. Father Ancestry |
|
4. Father Eye Color |
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5. Father
Hair Color |
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6. Father
Hair Type |
|
7. Father Skin Tone |
|
8. Father
Freckles |
|
9. Father Height |
|
10. Father Build |
|
11. Father
Education |
|
Comments: |
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