Dating Show Application
Select which show you prefer to be on:
Pop It or Cop It
The Reveal
Either or
Important Information:
If selected, we will be contacting you via text message. YOU MUST look at your text messages and respond with a confirmation.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Gender
*
Male
Female
Age
*
Height
*
Occupation
*
City
*
Instagram Username (Must Be Public)
*
Language (Fluent)
*
English
Spanish
Other
Sexual Orientation (Are you Gay, Straight, etc.)
*
Tell us about yourself (Interests, hobbies, etc.)
*
Do you have any children? (If yes, how many?)
*
Would you date someone with kids?
*
Yes
No
What is your type? (height, personality traits, etc.)
*
Why should we pick you?
*
Upload pictures of yourself (include at least 1 selfie and 1 full body with no filters)
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Submit
Should be Empty: