Embryo Donor Website Subscription and Confidentiality Agreement (No Ad/Profile submission with this form)

Embryo Donor Website Subscription and Confidentiality Agreement (No Ad/Profile submission with this form)

Dear applicant,

Thank you so much for your interest in the Miracles Waiting Embryo Donation Program. We are very excited to have you! Please take a moment to complete this application for our records.

Posting an ad/profile during your registration is the easier way for donors to join Miracles Waiting. But, if you don't want to submit an ad/profile with this submission, we need a letter/email from the donor's clinic or facility where your embryos are stored, confirming they have your frozen embryos in storage with them.

Your application will be reviewed and, upon acceptance you will be given full access to the restricted area of the website (our embryo donor and recipient's profiles and forum).

You can expect to receive an email from us letting you know that you have access to the website's restricted area within 24 - 48 hours of receipt of your application.
We do NOT reject applications without contacting the applicant to discuss why they are being rejected. So if you do not hear from us within 72 hours, you can assume that there was some problem during the transmission of your application and you should contact us to let us know about the problem.

Please Note: Those using the Miracles Waiting Website cannot use Miracles Waiting to try to sell or buy embryos.

Also when donating or receiving embryos you should always seek legal representation to draw up an embryo donation contract so you can protect yourself and others involved from engaging in any unwillingly illegal transaction.

Sincerely,
Admin

Name * First Last
Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone *
User name you want to use with your registration and at the Miracles Waiting Website. At least 6 letters and 2 numbers are required. *
*The email you want to use to register and use at the Miracles Waiting Website. Gmail.com seems to work the best. We advise that you do not use a Yahoo.com email account with this website.
Some members who use a Yahoo email with Miracles Waiting have had problems receiving and sending contact emails through their ad/profile when using a Yahoo email to contact donor or recipient families.
Email: *
Please re-enter email *
Gender: *
Age Group: *
How soon do you want to donate your embryos? *
Just started thinking about it As quickly as possible Within a year Other - Please explain below
How many embryos do you have available to donate? *
Please explain briefly your interest and understanding of Embryo Donation *
What criterion are most important to you in a recipient? *
How did you find Miracles Waiting? *
Search Engine Other Website/Bulletin Board Banner Ads In the News Magazine/Newspaper My Physician Word of Mouth Other
Please submit here a letter/email file from your clinic or facility confirming they have your frozen embryos in storage. Or, if you prefer, you can email your letter to us at: paloma@miracleswaiting.net

Allowed File Options: jpg, gif, png, pdf
Maximum file size: 1MB

Posting an ad/profile is the easier way for donors to join Miracles Waiting. Otherwise, we need a letter/email from the donor's clinic or facility confirming they have your frozen embryos in storage.
Terms and Conditions

This subscription will give you access to the interactive areas of the site and you must agree not to post any abusive, obscene, vulgar, hateful, threatening, or any other material that may violate any applicable laws. You must also agree that you may not share your login details with anyone else. These details are for your personal use only and you understand that if you share them you can lose your privileges and access to the restricted area of the website. The ads, ads/profiles, and posts you will find at the Miracles Waiting website are contributed by the authors, and we do not verify the details or content for accuracy and we make no claims as to the accuracy of the information provided in them. Under no circumstances should Miracles Waiting be held liable for any dispute that may result from anyone’s reliance on published information or as a result of contacting one of our members through ads and/or posts. We also reserve the right to remove an ad or post without warning that violates the terms and conditions listed or otherwise injures the integrity of the website. By clicking "agree" below you agree to be bound by these conditions.
I'm older than 18 years old and I have read and agree to the terms and conditions above *
Agree Disagree
Confidentiality Agreement

This is a Confidentiality Agreement between you and Miracles Waiting Please read this information carefully.

Members: Except for parties to the transaction, Members agree not to disclose to any third party (including but not limited to media sources - TV, radio, website, magazine, newspaper, blog, etc.) or use in any manner information furnished by and/or at Miracles Waiting, including but not limited to, terms of engagement, information available on the Miracles Waiting website, information from Miracles Waiting member’s ads/profiles, information obtained by members using emails, phone, face to face conversation, information sent by document delivery service to and from any of our members and obtained from the Miracles Waiting personnel.

Members will not disclose the confidential information to any person or party without the specific written authorization of Miracles Waiting and the other party.
I have read and agree to the Confidentiality Agreement above *
Agree Disagree
Electronic Signature (Type your Name) *
Partner Signature/Name (if applicable)
Date * / MM / DD YYYY
Thank You!

Please let us know anything we can do to help your journey be a successful one. Your gift is a precious one, and we thank you for sharing it.
Type the letters you see in the image below.