Speed_Dating_Registration_Form
  • Speed Dating Registration Form

  • Format: (000) 000-0000.
  • What are you looking for? [] Long-Term Relationship [ ] Casual Dating [] Friendship ]

     How did you hear about this event? [] Social Media [ ] Friend/Referral [ ] Email

    Registration Fee:$15

    Will send payment link to email for confirmation & your brief dating profile will be completed shortly after.

    By signing this form, I confirm that I understand the purpose of this event and agree to participate respectfully

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  • Speed Dating Registration Form

     Submission: Email:h.healthyself@yahoo.com      subject line: Speed Dating

    In-Person: In Store 

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