SUMMER SPEED: Speed Dating Event Registration
| Hosted by DUO AMERICA |📍Mama Lion Bar Lounge, Koreatown | Date: Sat August 2nd, 2025 | | 601 S Western Ave, Los Angeles, CA 90005 | Time: 4:30 PM - 8:00 PM |🔹AGES 25-39🔹| |Private Event for Marriage-Oriented Korean Singles | Contact: jennykim@duoamerica.net|
PERSONAL INFORMATION
Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Gender
*
Female
Male
Other
Email
*
example@example.com
Phone Number
*
Format: (000) 000-0000.
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PERSONAL INFORMATION
(continued)
Are you ethnically Korean or of Korean descent?
*
Yes
No
How fluent is your Korean?
*
Please Select
Native Fluency
Professional Proficiency
Conversational Proficiency
Elementary Proficiency
No Fluency
How fluent is your English?
*
Please Select
Native Fluency
Professional Proficiency
Conversational Proficiency
Elementary Proficiency
No Fluency
Marital Status
*
Single (Never Married, Divorced, Widowed)
Divorced
Widowed
Separated
Civil Partnership
Do you have Children?
*
Yes
No
1 or 2
3 or 4+
Full-Custody or Joint
No Custody
Under 18
Your Height
*
in CM
Your Weight
*
in KG
Religion, if any:
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EDUCATION & EMPLOYMENT VERIFICATION
All applicants must upload the following documents for verification:
Recent Clear Photo of Yourself
Copy of Diploma or Degree Certificate
Most Recent Paystub or Employment Verification Letter
File Upload
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of
Highest Level of Education
*
High School/GED
Trade/Tech Training
Associate Degree
Bachelor's Degree
Master's Degree
Professional Degree
Doctorate Degree
Please list the universities or colleges, your field of study, and the degree you graduated with/from:
Employment Status
*
Please Select
Employed - Hourly
Employed - Salary
Self-Employed
Homemaker
Student
Military
Retired
Unemployed
Unable to Work
Company Name - Job Title
Annual Income Range
*
Less than $75k
$75k - $100k
$100k - $200k
$200k - $400k
$400k+
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Final Questions
Previous Attendance
Please check the box to indicate that you attended a previous DUO America event.
Please check the box if you have attended a speed dating event before.
How did you hear about this event?
*
Family/Friend
Social Media
Newspaper
Billboard
Website
Google
Other
Were you referred by someone? If so, please state their name and year of birth:
Allergies, if any:
Any Comments?
Terms & Conditions
Do you agree to have your photos taken during the event for marketing purposes? (required for participation)
*
Yes
No
Do you understand that this is a private event with only 20 selected men and 20 selected women and that submitting this registration form does not guarantee participation in the event?
*
Yes
No
Do you agree to submit all necessary verification documents to DUO America if chosen for participation? (Profile Photo, Copy of Diploma, Drivers License, Recent Paystub, etc.)
*
Yes
No
I confirm that all provided information is accurate and truthful.
*
I confirm.
I understand that this is an exclusive event & participation is subject to approval.
*
I understand.
Signature
Payment & Agreement
** Payment is not due at this time! ** Men - $250 | Women - $200 ** Included: 2 drink tickets & food provided by Mama Lion LA. ** There is no cost to register. Event fees will be processed once your application is accepted. No refunds.
Preferred Payment Method
Venmo: @duoamerica
Zelle: 929-388-9087 (Alamauna LLC)
Credit Card: (Additional 4% fee)
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