Xytex
Step 1: Basic Donor Information
Thank you for starting the sperm donor application process for Xytex.
Our extensive screening and high standards continue to make real differences in the lives of families all over the world. Please keep in mind that there is no obligation and your information is confidential. This information will be evaluated, and you will receive a response from us within 48 hours. If you qualify, a donor coordinator will contact you to review the next steps.
Name:
Date of birth:
Height\Weight:
Phone number:
Zip Code:
Email:
Which Xytex location is closest?
(must be less than a 30 min. commute. Sorry, mail-ins are not permitted)
IF SELECTED, ARE YOU ABLE TO DONATE 1-3 TIMES PER WEEK FOR THE NEXT 9 MONTHS?
ARE YOU CURRENTLY MARRIED OR ENGAGED?
HOW MANY BIOLOGICAL CHILDREN DO YOU HAVE?
HAVE YOU EVER BEEN CONVICTED OF A FELONY?