Take it offline registration

Full Name*

First NameLast Name

E-mail*

example@example.com

Phone Number*

Please enter a valid phone number.

AGE*

Status

SingleMarriedDivorcedSeparated

Gender*

FemaleNon-BinaryTrans-Man

I identify as *

I am

LesbianBi-SexualTrans-ManQueer

Social Media Handle*

Kindly upload a recent picture and or video of yourself*

Do we have your permission to use your photos and videos for promotional purposes?*

YesNo

I prefer to date*

FemmeStudStemI date all

Brief description of yourself*

What are you looking for in a lover/partner?

What’s something that’s an absolute dealbreaker for you?

Type of relationship you are looking for*

**Disclaimer:**

By completing and submitting this registration form, you acknowledge and agree to the following terms:

Participation in the dating show is voluntary, and you understand that there is no guarantee of finding a match.
Personal information provided will be used solely for the show and will be handled by our privacy policy.
The show's producers reserve the right to use any footage or images captured during the show for promotional purposes.
Any interactions or relationships formed during the show are at the participant's own risk, and the producers are not responsible for any outcomes.
You confirm that all information provided is accurate and truthful.

By registering, you agree to these terms and conditions.

Take It Offline Registration