Surrogacy Application

For your application to be considered, you must meet all of the following requirements:

• Be a U.S. citizen or a U.S. permanent resident who lives outside of Louisiana, Nebraska and Michigan (these states prohibit surrogacy)
• Be a female between 21 – 38 years old
• Be a mother with a good pregnancy history (have carried at least one child to term, no more than two c-sections or five deliveries)
• Have a body mass index (BMI) under 30
• Lead a healthy and stable lifestyle

If you have these qualifications, please fill out the application below! Fields marked with an asterisk (*) are mandatory.