Are you between the ages of 21-35, have had an uncomplicated pregnancy and want to help others? Maybe gestational surrogacy is right for you. Apply today!
Build your family’s future by helping others build families of their own.


Some parents need some help in order to achieve their dream of having a family. Are you one of the special women that is willing to help them achieve their dream? Surrogates carry the biological child of the Intended Parents and need your help to make their family a reality. If you are interested in meeting new people, creating a great relationship, and making some money to help your own family, then becoming a surrogate may be right choice for you!

These hopeful parents are looking for a Gestational Surrogate who meets the following requirements:
  • Kind and compassionate
  • Between the ages of 21 and 35
  • Have had at least one child
  • Uncomplicated pregnancies
  • BMI 30 or below




Talk to Us


Thank you for your interest in Gestational Surrogate Moms, Inc. The best way to get started as an Egg Donor, Surrogate Mother, or Intended Parent is by filling out one of our applications. However, if you need to contact us for any reason, feel free to email us or use the contact form below.





Contact info


916-303-0094
contact@gsmoms.com





BECOME A SURROGATE

What is your name?

What is your nickname?

What state do you live in?

What is the best way to contact you?
emailPhoneText

Do you live in the United States?
YesNo

Do you live in New York, Michigan, or Nebraska
YesNo

Do you speak and understand English?
YesNo

Are you between the ages of 20 and 40 years old?
YesNo

Have you used any tobacco products in the last year?
YesNo

Do you have any history of illegal drug use or alcohol abuse?
YesNo

Have you or your partner ever been convicted of a crime?
YesNo

Have you used antidepressants in the last year?
YesNo

Have you given birth to at least one child in the last 10 years?
YesNo

Have you had two or more miscarriages?
YesNo

Do you have at least partial custody of and live with at least one of your children?
YesNo

Will you be dependent upon your surrogacy income as your primary means of support?
YesNo

Are you currently accepting Welfare payments?
YesNo

As part of the surrogacy process, are you willing to take injectable medications and oral birth control?
YesNo

Would you be willing to terminate a pregnancy if medically advised to do so?
YesNo

How old are you?

Date of birth

Ethnicity
WhiteHispanicBlack or African AmericanNative Hawaiian or Other Pacific IslanderIndianAsianNative American or Alaska NativeOther

Height

Weight

Email Address*

Your Cell Phone Number*

Your Home Phone Number

Your home address

Do you have health insurance?
YesNo

If you have health insurance who is your health insurance provider?

How did you hear about us?

If you were referred by a friend please let us know who to thank!

Do you have reliable transportation?
YesNo

Do you have or have access to a computer?
YesNo

When was your weight last obtained?

How often do you check your email?
ObsessivelyDailyWeeklyNot OftenHardly Ever

When would you like to start your Surrogacy journey?
ImmediatelyWithin a MonthWithin 3 MonthsJust looking for Information

Have you been a surrogate before?
YesNo

When is the best time for our team members to contact you?

Does your household own a car?
NoYes

If not, what is your means of transportation?

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