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Intended Parent Registration Form
Intended Parents Information
Enter information in the fields below to register. Once you have verified your email address and set your password, please log back in to your profile to complete the Account Information section. Please ensure all required fields are completed, if it does not apply to you, input N/A or 0. The information contained here will only be used for the purpose of matching Egg Donors and Intended Parent(s) and will not be sold, traded or lent to any other companies. We look forward to assisting you on your journey to Parenthood. One of our Eggspecting representatives will contact you shortly.
Name
*
First Name
Last Name
Searching For
*
- Choose Option -
Egg Donor
Surrogate
Egg Donor & Surrogate
Marital Status
*
- Choose option -
Single
Married Heterosexual Couple
Married Same Sex Couple
Unmarried Heterosexual Couple
Unmarried Same Sex Couple
Email
*
Email Frequency
*
- Choose Option -
All Day
Once/Day
Weekly
Rarely
How often do you check email.
Home Phone
Work Phone
Cell Phone
*
Fax
Best Time to Call
*
- Choose option -
Morning
Afternoon
Evening
Anytime
Leave Voice Mail?
*
- Choose option -
Yes
No
If we reach your voicemail, can we leave a message?
Phyiscal Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Postal address same as Physical
Postal address same as physical address
Postal Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Comments
What is the best time and phone number to reach you?
Cycle Start
*
When would you like to begin your cycle?
Cycle Location
*
USA
Canada
Mexico
India
Greece
Nepal
Cyprus
Cambodia
Other
Unsure
Panama
Central America
Any
Where would you like to begin your cycle?
Other Location Details
If you selected "Unsure or "Other" as your Cycle Location, please give details.
Preferred Egg Donor Characteristics
Enter the characteristics you are looking for in your egg donor.
From Weight
- Choose Weight in Pounds -
Not Important
Less than 80
80
90
100
110
120
130
140
150
160
170
180
190
200
210
220
230
240
250
260
270
280
290
300
More than 300
To Weight
- Choose Weight in Pounds -
Not Important
Less than 80
80
90
100
110
120
130
140
150
160
170
180
190
200
210
220
230
240
250
260
270
280
290
300
More than 300
From Height
- Choose Height -
Less than 4'/1.22 m
4' 0"/1.22 m
4' 1"/1.24 m
4' 2"/1.27 m
4' 3"/1.3 m
4' 4"/1.32 m
4' 5"/1.35 m
4' 6"/1.37 m
4' 7"/1.4 m
4' 8"/1.42 m
4' 9"/1.45 m
4' 10"/1.47 m
4' 11"/1.5 m
5' 0"/1.52 m
5' 1"/1.55 m
5' 2"/1.57 m
5' 3"/1.6 m
5' 4"/1.63 m
5' 5"/1.65 m
5' 6"/1.68 m
5' 7"/1.7 m
5' 8"/1.73 m
5' 9"/1.75 m
5' 10"/1.78 m
5' 11"/1.8 m
6' 0"/1.83 m
6' 1"/1.85 m
6' 2"/1.88 m
6' 3"/1.91 m
6' 4"/1.93 m
6' 5"/1.96 m
6' 6"/1.98 m
6' 7"/2.01 m
6' 8"/2.03 m
6' 9"/2.06 m
6' 10"/2.08 m
6' 11"/2.11 m
7' 0"/2.13 m
More 7'/2.13 m
To Height
- Choose Height -
Less than 4'/1.22 m
4' 0"/1.22 m
4' 1"/1.24 m
4' 2"/1.27 m
4' 3"/1.3 m
4' 4"/1.32 m
4' 5"/1.35 m
4' 6"/1.37 m
4' 7"/1.4 m
4' 8"/1.42 m
4' 9"/1.45 m
4' 10"/1.47 m
4' 11"/1.5 m
5' 0"/1.52 m
5' 1"/1.55 m
5' 2"/1.57 m
5' 3"/1.6 m
5' 4"/1.63 m
5' 5"/1.65 m
5' 6"/1.68 m
5' 7"/1.7 m
5' 8"/1.73 m
5' 9"/1.75 m
5' 10"/1.78 m
5' 11"/1.8 m
6' 0"/1.83 m
6' 1"/1.85 m
6' 2"/1.88 m
6' 3"/1.91 m
6' 4"/1.93 m
6' 5"/1.96 m
6' 6"/1.98 m
6' 7"/2.01 m
6' 8"/2.03 m
6' 9"/2.06 m
6' 10"/2.08 m
6' 11"/2.11 m
7' 0"/2.13 m
More 7'/2.13 m
Race
*
Any
White/Caucasian
Black/African American
Hispanic/Latino
Asian
East Indian
Middle Eastern
Native American/Native Alaskan
Native Hawaiian/Pacific Islander
Inuit/Native Canadian
Other
Eye Color
*
Any
Brown
Hazel
Green
Gray
Blue
Violet
Hair Color
*
Any
Auburn
Black
Blonde
Strawberry Blonde
Dark Blonde
Brown
Light Brown
Dark Brown
Red
Hair Type
Any
Straight
Wavy
Curly
Minimum Education?
*
- Choose Option -
Any
GED
High School
Some College
Technical Degree
Associates Degree
Bachelors Degree
Graduate Degree
Post Graduate Degree
Artistic Ability
- Choose Option -
Require
Desire
Not Important
Musical Ability
- Choose Option -
Require
Desire
Not Important
Athletic Ability
- Choose Option -
Require
Desire
Not Important
Scientific Ability
- Choose Option -
Require
Desire
Not Important
Specific Blood Type
- Choose Option -
Require
Desire
Not Important
Specific Ethnicity
*
- Choose Option -
Require
Desire
Not Important
Same Religion
- Choose Option -
Require
Desire
Not Important
Proven Fertility
- Choose Option -
Require
Desire
Not Important
Similar Personality
- Choose Option -
Require
Desire
Not Important
Similar Appearance
- Choose Option -
Require
Desire
Not Important
Additional Comments
Enter any additional information that is important to you, or clarifications about any of the points above.
Optional Intended Parent Characteristics
Please enter the intended parents physical characteristics. This will help us match you with appropriate donors.
Birth Date
DD slash MM slash YYYY
Birth Place
Ethnic Background
*
Any
African American
Albanian
Armenian
Austrian
Basque
Belgian
Brazilian
Bulgarian
Celtic
Chilean
Chinese
Costa Rican
Creole
Czech
Danish
Dutch
East Indian
Egyptian
English
Fijian
Filipino
Finnish
French
French Canadian
German
Greek
Haitian
Hispanic
Hungarian
Icelandic
Iranian
Irish
Native American
Norse
Norwegian
Pacific Islander
Persian
Scandinavian
Scottish
Slovakian
Spanish
Swedish
Swiss
Taiwanese
Thai
Turkish
Ukranian
Vietnamese
Welsh
Other
Other Ethnic
Race
*
- Choose Option -
White/Caucasian
Black/African American
Hispanic/Latino
Asian
East Indian
Middle Eastern
Native American/Native Alaskan
Native Hawaiian/Pacific Islander
Inuit/Native Canadian
Other
Religious Affiliation
- Choose Option -
Do Not Practice
Aladura
Asatru
Bah'ai Faith
Bön
Buddhism
Chinese Religion
Chopra Center
Christianity
Christian Science
Confucianism
Epicureanism
Falun Gong
Greco-Roman Religion
Hare Krishna
Hinduism
Islam
Jehovah's Witnesses
Judaism
Kemetic
Reconstructionism
Mayan Religion
Mithraism
Mormonism
Neopaganism
New Thought
Rastafari
Scientology
Shinto
Sikhism
Stoicism
Unification Church
Unitarian Universalism
Wicca
Zoroastrianism
Occupation
Height
- Choose Height -
Less than 4'/1.22 m
4' 0"/1.22 m
4' 1"/1.24 m
4' 2"/1.27 m
4' 3"/1.3 m
4' 4"/1.32 m
4' 5"/1.35 m
4' 6"/1.37 m
4' 7"/1.4 m
4' 8"/1.42 m
4' 9"/1.45 m
4' 10"/1.47 m
4' 11"/1.5 m
5' 0"/1.52 m
5' 1"/1.55 m
5' 2"/1.57 m
5' 3"/1.6 m
5' 4"/1.63 m
5' 5"/1.65 m
5' 6"/1.68 m
5' 7"/1.7 m
5' 8"/1.73 m
5' 9"/1.75 m
5' 10"/1.78 m
5' 11"/1.8 m
6' 0"/1.83 m
6' 1"/1.85 m
6' 2"/1.88 m
6' 3"/1.91 m
6' 4"/1.93 m
6' 5"/1.96 m
6' 6"/1.98 m
6' 7"/2.01 m
6' 8"/2.03 m
6' 9"/2.06 m
6' 10"/2.08 m
6' 11"/2.11 m
7' 0"/2.13 m
More 7'/2.13 m
Weight
- Choose Weight in Pounds -
Not Important
Less than 80
80
90
100
110
120
130
140
150
160
170
180
190
200
210
220
230
240
250
260
270
280
290
300
More than 300
Body Build
- Choose Body Build Style -
Slender/Skinny
Average
Large/Muscular
Hair Color
- Choose Hair Color -
Auburn
Black
Blonde
Strawberry Blonde
Dark Blonde
Brown
Light Brown
Dark Brown
Red
Hair Type
Straight
Wavy
Curly
Eye Color
- Choose Eye Color -
Brown
Hazel
Green
Gray
Blue
Violet
Skin Color
- Choose Eye Color -
Fair
Light
Medium
Dark
Olive
Blood Type
- Choose Blood Type -
A+
A-
B+
B-
AB+
AB-
O+
O-
Unknown
Optional Partner Characteristics
Please enter the partners physical characteristics. This will help us match you with appropriate donors.
Birth Date
DD slash MM slash YYYY
Birth Place
Ethnic Background
Any
African American
Albanian
Armenian
Austrian
Basque
Belgian
Brazilian
Bulgarian
Celtic
Chilean
Chinese
Costa Rican
Creole
Czech
Danish
Dutch
East Indian
Egyptian
English
Fijian
Filipino
Finnish
French
French Canadian
German
Greek
Haitian
Hispanic
Hungarian
Icelandic
Iranian
Irish
Native American
Norse
Norwegian
Pacific Islander
Persian
Scandinavian
Scottish
Slovakian
Spanish
Swedish
Swiss
Taiwanese
Thai
Turkish
Ukranian
Vietnamese
Welsh
Other
Other Ethnic
Race
- Choose Option -
White/Caucasian
Black/African American
Hispanic/Latino
Asian
East Indian
Middle Eastern
Native American/Native Alaskan
Native Hawaiian/Pacific Islander
Inuit/Native Canadian
Other
Religious Affiliation
- Choose Option -
Do Not Practice
Aladura
Asatru
Bah'ai Faith
Bön
Buddhism
Chinese Religion
Chopra Center
Christianity
Christian Science
Confucianism
Epicureanism
Falun Gong
Greco-Roman Religion
Hare Krishna
Hinduism
Islam
Jehovah's Witnesses
Judaism
Kemetic
Reconstructionism
Mayan Religion
Mithraism
Mormonism
Neopaganism
New Thought
Rastafari
Scientology
Shinto
Sikhism
Stoicism
Unification Church
Unitarian Universalism
Wicca
Zoroastrianism
Occupation
Height
- Choose Height -
Less than 4'/1.22 m
4' 0"/1.22 m
4' 1"/1.24 m
4' 2"/1.27 m
4' 3"/1.3 m
4' 4"/1.32 m
4' 5"/1.35 m
4' 6"/1.37 m
4' 7"/1.4 m
4' 8"/1.42 m
4' 9"/1.45 m
4' 10"/1.47 m
4' 11"/1.5 m
5' 0"/1.52 m
5' 1"/1.55 m
5' 2"/1.57 m
5' 3"/1.6 m
5' 4"/1.63 m
5' 5"/1.65 m
5' 6"/1.68 m
5' 7"/1.7 m
5' 8"/1.73 m
5' 9"/1.75 m
5' 10"/1.78 m
5' 11"/1.8 m
6' 0"/1.83 m
6' 1"/1.85 m
6' 2"/1.88 m
6' 3"/1.91 m
6' 4"/1.93 m
6' 5"/1.96 m
6' 6"/1.98 m
6' 7"/2.01 m
6' 8"/2.03 m
6' 9"/2.06 m
6' 10"/2.08 m
6' 11"/2.11 m
7' 0"/2.13 m
More 7'/2.13 m
Weight
- Choose Weight in Pounds -
Not Important
Less than 80
80
90
100
110
120
130
140
150
160
170
180
190
200
210
220
230
240
250
260
270
280
290
300
More than 300
Body Build
- Choose Body Build Style -
Slender/Skinny
Average
Large/Muscular
Hair Color
- Choose Hair Color -
Auburn
Black
Blonde
Strawberry Blonde
Dark Blonde
Brown
Light Brown
Dark Brown
Red
Hair Type
Straight
Wavy
Curly
Eye Color
- Choose Eye Color -
Brown
Hazel
Green
Gray
Blue
Violet
Skin Color
- Choose Eye Color -
Fair
Light
Medium
Dark
Olive
Blood Type
- Choose Blood Type -
A+
A-
B+
B-
AB+
AB-
O+
O-
Unknown
If the donor agrees, would you like to:
Meet the Donor?
*
- Choose Option -
Yes
No
Maybe
Call or Video skype with Donor?
*
- Choose Option -
Yes
No
Maybe
Email the Donor?
*
- Choose Option -
Yes
No
Maybe
Emergency Contact
Name
Phone Number
How did you hear about us?
Help us track how people are finding us in order to make our site better for everyone. If you were referred by a friend or a doctor, please supply us with detailed information so we know who to thank or credit.
Discovery Method
*
- Choose Option -
Friend
Print Advertisement
Flyer/Mailer
Radio
TV
Web Search
Google Advert
Facebook Advert
Facebook Friend
MySpace
Twitter
LinkedIn
YouTube
Instagram
I stumbled across the site
A friend told me
Doctors office
Sensible Surrogacy
Become Parents
Friend's Name
Please enter your friend's name if they are an Eggspecting client so they can receive a referral credit.
Doctor's Name
Please enter your doctor's name so we can track referrals.
Δ
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