Family Contact List Registration

Family Services

By completing this form:

I request to join TSBC’s Family Contact List.
I consent to the release of information regarding my family (including adult names, at least one email address, and other specified contact information, and gender/birth year of donor-conceived individuals) to other families who share the same donor as described in the Family Contact List Information.
For families with more than one parent: I agree to inform my partner and/or former partner (i.e., the children’s other parent(s)) that I am joining TSBC’s Family Contact List.

I understand that donors in the Identity-ReleaseⓇ Program have consented to release of their identity by TSBC to donor-conceived adults. I acknowledge that donors anticipate their identity will be shared through the structured process of the Identity-ReleaseⓇ Program and that TSBC’s Family Contact List is not intended to be a means of sharing identifying information about the donor.

Parent information

I am a TSBC: (please check all that apply)

Recipient/Gestational Parent

Non-Gestational Parent

Donor-Conceived Adult

Recipient/Gestational Parent’s Name *

Non-Gestational Parent’s Name (If Applicable)

Donor-conceived children

(including requesting DC adults)

Name *

Date of Birth *

Name

Date of Birth

Donor Number or Put 0000 If You Do Not Know *

Country *

Mailing Address *

City *

State

ZIP *

Email Address *

Phone

Contact Preference, Please let us know if you have a preference for initial contact:

Phone

Mail

Comments or Questions

We will be in contact soon. If you don't hear from us within 3 weeks, please call 510-841-1858. Thank you for your interest!

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Family Services

Parent information

Donor-conceived children

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