First Name *

Last Name *

Gender *

Enter your full name to verify that you have read and agree to all terms in the Application Agreement and Terms of Service.

Mobile Phone #

Email *

Date of Birth

About Me (Who I am)

Match Gender *

Describe what you are looking for in the person you want to meet

My Instagram Handle

example @pattistanger

Photo Allowed file-types are gif, jpg, jpeg, pjpeg, png The maximum file size limit is 5 MB

Extra Photo #1

Extra Photo #2

Extra Photo #3

Street Address 1

City

State

Country

Zip/Postal Code

Height

Do you have children?

Hair Color

Eye Color

COVID19: What is your comfort level? Are you open to meeting in-person, if so, will you want to keep social distance? Are you OK shaking hands or hugging your date? Does COVID make you nervous? Are you vaccinated? What when was date of the vaccination?