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Free Sperm Donor - Northern California / San Francisco Bay Area |
Donor Agreement
Submitted by: trent on Sep 20, 2010 - (Last updated: Nov 5, 2011)
Instructions:
- Contact Trent first to make sure there is availability before sending the Donor Agreement.
- Read and review the document below carefully.
- Print two copies of the Donor Agreement document. Please print using the PDF version here. If PDF version cannot be printed, then cut and paste from the text below.
- Sign both Donor Agreements in the presence of a Notary Public. The notary will stamp the document with their seal, indicating current notary status in the U.S. state or county in which he/she is licensed. (California recipients: please use "Jurat" if the notary asks between using their Jurat or Acknowledgement seal.) Notarization typically costs about $20 and can often be done at local FedEx/Kinko's, UPS Store, or similar store. The woman having the baby must be the person who signs.
- Mail both copies of the Donor Agreement to Trent's address via FedEx, UPS, or USPS Certified Mail (notarized documents sent first class mail cannot be accepted). Photocopies of signed documents cannot be accepted. Please do not include correspondence with the Donor Agreement as it is received by a notary. Please use a large envelope so the documents are unfolded.
- Once the Donor Agreement is received, Trent will have both copies signed and re-notarized. One copy of the Donor Agreement will be returned to the recipient via FedEx. Allow about 1 week. Tracking numbers will be sent via e-mail from FedEx indicating when the document is on the way.
- Hold onto the California STD testing waiver until meeting Trent for the first time for pick-up.
- FedEx will confirm that the recipient's copy of the notarized donor agreement has been delivered. Once the agreement is delivered, the first pick-up can be scheduled. (See separate pick-up instructions and question and answer).
Please use the PDF VERSION. If the PDF cannot be printed, then cut and paste everything below this line into a blank document for printing.
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DESIGNATED KNOWN DONOR AGREEMENT
This AGREEMENT is made this ______ day of ____________________, 201__, by and between _____Trent Charles Arsenault____, hereafter DONOR, and __________________________________________, hereafter RECIPIENT, who may also be referred to herein as the parties.
NOW, THEREFORE, in consideration of the promises of each other, DONOR and RECIPIENT agree as follows:
1. Each clause of the AGREEMENT is separate and divisible from the others, and, should a court refuse to enforce one or more clauses of this AGREEMENT, the others are still valid and in full force.
2. DONOR has agreed to provide his semen to RECIPIENT for the purpose of artificial insemination.
3. DONOR will receive no compensation from RECIPIENT.
4. Each party acknowledges and agrees that, through the procedure of artificial insemination, the RECIPIENT is attempting to become pregnant. It is our intent that such inseminations shall continue until conception occurs or until no longer desired by RECIPIENT and/or DONOR.
5. Each party acknowledges and agrees that DONOR provided his semen for the purposes of said artificial insemination, and did so with the clear understanding that he would not demand, request, or compel any guardianship, custody or visitation rights with any child(ren) born from the artificial insemination procedure. Further, DONOR acknowledges that he fully understands that he would have no paternal rights whatsoever with said child(ren).
6. Each party acknowledges and agrees that RECIPIENT has relinquished any and all rights that she might otherwise have to hold DONOR legally, financially, or emotionally responsible for any child(ren) or medical expense that results from the artificial insemination procedure.
7. Each party acknowledges and agrees that the sole authority to name any child resulting from the artificial insemination procedure shall rest with RECIPIENT.
8. Each party acknowledges and agrees that DONOR will not be named on the birth certificate of any child(ren) born from the artificial insemination procedure.
9. Each party relinquishes and releases any and all rights he or she may have to bring a suit to establish paternity.
10. Each party covenants and agrees that, in light of the expectations of each party, as stated above, RECIPIENT shall have absolute authority and power to appoint a guardian for her child(ren), and that the mother and guardian may act with sole discretion as to all legal financial, medical and emotional needs of said child(ren) without any involvement with or demands of authority from DONOR.
11. Each party covenants and agrees that the identity of the DONOR shall be made known to the child(ren) at a time and in a manner to be determined solely by the RECIPIENT.
12. Each party acknowledges and agrees that the relinquishment of all rights, as stated above, is final and irrevocable. DONOR further understands that his waivers shall prohibit any action on his part for custody, guardianship, or visitation in any future situations, including the event of RECIPIENT's disability or death.
13. Each party acknowledges and understands that any future contact the DONOR may have with any child(ren) that result(s) from the artificial insemination procedure in no way alters the effect of this agreement. Any such contact will be at the discretion of the RECIPIENT and/or appointed guardian, and will be consistent with the intent of both parties to sever any and all parental rights and responsibilities of the DONOR.
14. Each party covenants and agrees that any dispute pertaining to this AGREEMENT which arises between them shall be submitted to binding arbitration according to the following procedures:
The request for arbitration may be made by either party and shall be in writing and delivered to the other party;
Pending the outcome of arbitration, there shall be no change made in the language of this AGREEMENT;
The arbitration panel that will resolve any disputes regarding this AGREEMENT shall consist of three persons; one person chosen by DONOR, one person chosen by RECIPIENT; and one person chosen by the other two panel members;
Within fourteen calendar days following the written arbitration request, the arbitrators shall be chosen;
Within fourteen days following the selection of all members of the arbitration panel, the panel will hear the dispute between parties;
Within seven days subsequent to the hearing, the arbitration panel will make a decision and communicate it in writing to each party.
15. Each party acknowledges and understands that there are legal questions raised by the issues involved in this AGREEMENT which have not been settled by stature or prior court decisions. Notwithstanding the knowledge that certain of the clauses stated herein may not be enforced in a court of law, the parties choose to enter into this AGREEMENT and clarify their intent that existed at the time the artificial insemination procedure was implemented by them.
16. Each party acknowledges and agrees that she or he signed this AGREEMENT voluntarily and freely, of his or her own choice, without any duress of any kind whatsoever. It is further acknowledged that each party has been advised to secure the advice and consent of an attorney of his or her own choosing, and that each party understands the meaning and significance of each provision of this AGREEMENT.
17. Each party acknowledges and agrees that any changes made in the terms and conditions of the AGREEMENT shall be made in writing and signed by both parties.
18. This AGREEMENT contains the entire understanding of the parties. There are no promises, understandings, agreements or representations between the parties other than those expressly stated in this AGREEMENT.
IN WITNESS WHEREOF, the parties hereunto have executed this AGREEMENT:
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RECIPIENT'S SIGNATURE:
x______________________________ ______________________________
Recipient's Signature Recipient Print Name
City of _____________________________, and State of __________________,
Date _____________________________ Recipient's Notary Seal:
______________________________
Recipient's Notary Print Name
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DONOR'S SIGNATURE:
x______________________________ ______________________________
Donor's Signature Donor Print Name
City of _____________________________, and State of __________________,
Date _____________________________ Donor's Notary Seal:
______________________________
Donor's Notary Print Name
TrentDonor Designated Known Donor Agreement online ver 2010-1 |
RECIPIENT: Please provide mailing address for return of the documents. Note that FedEx cannot deliver to P.O. boxes:
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END OF CUT AND PASTE AREA
One copy goes to Donor, One copy goes to Recipient
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