All your personal contact and confidential information is for Love & Kindness' internal use only. We would only share your (preferred) first name, nation/city origin, gender and age with surrogate candidates.
If you’re an agent/representative filling this section out on behalf of intended parent(s), please be sure to NOT input your own contact information. Please input the intended parent(s)' actual email, address, and phone number as it is very important for us to have this information, especially for emergency situations.
Intended Parent 1
Intended Parent 2