Sperm Donation Form

Contact Form

SPERM DONORS

Name (obligatory)

Email (obligatory)

Telephone number

City

Age

Comments

Hair color

Eyes color

Skin color

Race

My weight (in kg)

My height ( in cm)

Legal
 I have read and accept the privacy policy



In compliance with the Organic Law 15/1999 of Personal Data Protection, GIREXX informs you that your identification personal data, together with some of those in your personal and medical report that may have been obtained during the medical assistance will be incorporated in a medical history data base which is the property of FIV GIRONA SL. The objective of gathering these data is to be able to provide a quality medical service and carry out administrative and organisation processes in the clinic. Unless you request us to do so, your data will not be transferred to external organisations. You can exercise your right to access, amendment, cancellation and opposition over your personal data by contacting the clinic’s administrative department.

Information: Provided data

The data you may provide in the documents of this web site will be compiled in an automatic file which will be property of FIV GIRONA SL and will also be incorporated to the Data Protection Agency. These data will be liable to be used for internal management of commercial contacts which may require information or with those with which a commercial relationship is maintained.

Unless in fields where it is stated otherwise, the answers to the questions about your personal data are voluntary. The user takes full responsibility for the truthfulness of the data provided.

In compliance with what establishes the fifth article of the Organic Law 15/1999, of 13 th December, of Personal Data Protection, you have the right to access your data or unsubscribe from the data file by writing a request to Atenció LOPD, FIV Girona S.L.P,Heroïnes de Santa Bàrbara, 6, 17004, Girona, Spain or to girexxenglish@girexx.com, observing this way what the article 5.4 of the afore-mentioned law establishes.