|
| |
Here is a sample parenting contract which you can use as a model for your own
contract. Please be aware that such a contract has significant legal
implications and that you may want to consult an attorney.
Disclaimer: Gay Family Options provides this sample contract for informational
purposes only--please do not consider it as legal advice of any kind.
Sample Known Donor Contract (html)
Sample Known Donor Contract (text)
Sample Known Donor Questionnaire (html)
Sample Known Donor Questionnaire (text)
Sample Known Donor Contract
This AGREEMENT is made this ______ day of ____________________, 200__, by and
between __________________________________________, 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. In exchange, DONOR has received from RECIPIENT ___________.
4. Each party is a single person who has never married.
5. 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.
6. 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 born from the artificial
insemination procedure. Further, DONOR acknowledges that he fully understands
that he would have no paternal rights whatsoever with said child.
7. 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 that results from the artificial
insemination procedure.
8. Each party acknowledges and agrees that the sole authority to name any child
resulting from the artificial insemination procedure shall rest with RECIPIENT.
9. Each party acknowledges and agrees that there shall be no father named on the
birth certificate of any child born from the artificial insemination procedure.
10. Each party relinquishes and releases any and all rights he or she may have
to bring a suit to establish paternity.
11. 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, and that the mother and guardian may act with
sole discretion as to all legal financial, medical and emotional needs of said
child without any involvement with or demands of authority from DONOR.
12. Each party covenants and agrees that the identity of the DONOR shall be made
known to the child at a time and in a manner to be determined solely by the
RECIPIENT. Each party reserves the right not to disclose his identity to any
others, and RECIPIENT agrees not to disclose DONOR's identity to any specific
persons upon his written request including full names.
13. 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.
14. 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.
15. 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 on 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.
16. 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.
17. 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.
18. 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.
19. 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, in the
City of ______________, and the state of ________________, on the day and year
first above written.
______________________________
Donor
______________________________
Print Name
______________________________
Recipient
______________________________
Print Name
______________________________
Notary
______________________________
Print Name
Back to the top
Sample Known Donor Questionnaire
(Special thanks to Kim and Laine for sending this to Gay Family Options!)
Donor Profile:
Name:
City, State:
Age:
Race:
Maternal Ethnic Ancestry:
Paternal Ethnic Ancestry:
Height:
Weight:
Natural Hair Color:
Hair color as a child:
Natural Hair Texture:
Eye Color:
Physical Build:
Complexion:
Tanning Ability:
Predominant Hand:
Teeth:
Vision:
Hearing:
Distinguishing Characteristics:
Religion:
Birth Date:
Blood Type:
Sexual Orientation:
Smoker:
Drug Use:
Alcohol Use:
HIV status:
Have you ever been tested positive for an STD?
Additional:
Education / Intelligence
Education:
High School Grade Point Average:
What was your best subject in high school:
College Major:
College Grade Point Average:
Highest Grade In:
SAT Score:
Learning Disabilities:
If yes, please explain:
Have you ever taken an IQ test:
Date of test and score:
Profession:
Additional:
Personal Profile
Have you ever been arrested and/or convicted of a crime/felony?
Have you ever been under the care of a psychiatrist? If yes, please explain.
Have you ever received treatment for drug or alcohol abuse?
Do you drink alcohol? If yes, how often?
Do you take prescription and/or non-prescription drugs? If yes, please explain.
Have you recently or are you willing to take health related tests? (STD's,
drugs, HIV, etc.)
If yes, can you provide a recent test result?
Please list any significant illnesses you have had:
Have you ever had surgery? If yes, please explain.
Were you adopted?
Please describe your character (personality):
Please list any clubs, organizations, hobbies, interests, sports teams,
activities, etc. you are or have been involved in:
Please describe any special skills, talents, and abilities you have:
Please describe your future goals (personal and career):
Please explain your reason for wanting to be a sperm donor:
What qualities do you consider to be most important in choosing to work with
prospective parents?
Are you willing to meet any future children from the artificial insemination
procedure once he/she turns 18?
Have you ever been a sperm donor before?
Additional information:
Reproductive Health History
How many times have you produced a pregnancy?
Please list the approximate dates of pregnancies:
Please list the age, sex, and general health condition of each of the children:
Were all your children born healthy? If no, please explain.
Were any of them born prematurely?
Do you have legal or physical custody of any or all of the above children?
If no, please explain:
Did any of your pregnancies take longer than six months to conceive?
Did you need any medical assistance to conceive your children?
Family History: (age and health status)
Donor:
Mother:
Father:
Siblings:
Maternal Grandmother:
Maternal Grandfather:
Paternal Grandmother:
Paternal Grandfather:
Extended Family Characteristics:
Mother
Year of birth:
Race:
Ethnic ancestry:
Height:
Weight:
Eye Color:
Natural Hair Color:
Hair type (ex: thin, wavy, straight, thick, etc.):
Vision:
Hearing:
Wear corrective lenses? If so, at what age did she start wearing them?
Complexion:
Tanning Ability:
Freckles:
Physical Build:
Sex and age of children:
Occupation:
Education:
Special skills, talents, abilities, hobbies:
General Health:
Type of personality:
Father
Year of birth:
Race:
Ethnic ancestry:
Height:
Weight:
Eye Color:
Natural Hair Color:
Hair type (ex: thin, wavy, straight, thick, etc.):
Vision:
Hearing:
Wear corrective lenses? If so, at what age did she start wearing them?
Complexion:
Tanning Ability:
Freckles:
Physical Build:
Sex and age of children:
Occupation:
Education:
Special skills, talents, abilities, hobbies:
General Health:
Type of personality:
Sibling
Sex:
Year of birth:
Race:
Ethnic ancestry:
Height:
Weight:
Eye Color:
Natural Hair Color:
Hair type (ex: thin, wavy, straight, thick, etc.):
Vision:
Hearing:
Wear corrective lenses? If so, at what age did she start wearing them?
Complexion:
Tanning Ability:
Freckles:
Physical Build:
Sex and age of children:
Occupation:
Education:
Special skills, talents, abilities, hobbies:
General Health:
Type of personality:
Sibling
Sex:
Year of birth:
Race:
Ethnic ancestry:
Height:
Weight:
Eye Color:
Natural Hair Color:
Hair type (ex: thin, wavy, straight, thick, etc.):
Vision:
Hearing:
Wear corrective lenses? If so, at what age did she start wearing them?
Complexion:
Tanning Ability:
Freckles:
Physical Build:
Sex and age of children:
Occupation:
Education:
Special skills, talents, abilities, hobbies:
General Health:
Type of personality:
Sibling
Sex:
Year of birth:
Race:
Ethnic ancestry:
Height:
Weight:
Eye Color:
Natural Hair Color:
Hair type (ex: thin, wavy, straight, thick, etc.):
Vision:
Hearing:
Wear corrective lenses? If so, at what age did she start wearing them?
Complexion:
Tanning Ability:
Freckles:
Physical Build:
Sex and age of children:
Occupation:
Education:
Special skills, talents, abilities, hobbies:
General Health:
Type of personality:
Back to the top
|
