(AC) Christian Speed Dating – Registration Form

Ahavah Connections Christian Speed Dating - Registration Form

Welcome! We're excited you're interested in joining our upcoming Christian speed dating event. This form helps us ensure that everyone shares similar values and is here for intentional, respectful connection. Please answer honestly. All responses are kept confidential
(Section 1: Contact Information) 1. Full Name*
First & Last Name
2. Email Address *
example@example.com
3. Phone Number *
4. Age *
5. City/Town *
(Section 2: Faith & Values) 6. How would you describe your Christian faith journey? (e.g., lifelong Christian, recently saved, still exploring faith, etc)
7. Do you belong to a church community or denomination? If so, which one?
8. How important is shared Christian faith in a romantic relationship to you?

Very ImportantSomewhat ImportantNot Important
9. What are some ways you practice your faith in everyday life?

PrayerReading scriptureWorship/church attendanceServing or volunteeringFaith-based community/fellowshipOther
(Section 3: Dating Intentions) 10. What are you hoping to find through this event?

MarriageLong Term RelationshipFriendshipCommunity
11. Are you currently single and emotionally available to pursue a relationship? (Yes/No)

YesNo
12. What qualities are most important to you in a potential partner?
13. Are you open to dating someone from a different denomination or cultural background (Yes/No)
(Section 4: Compatibility & Logistics) 14.Preferred age range of people you'd like to meet:
15. Are you comfortable with long-distance or travel for the right relationship? (Yes/No/Maybe)
(Section 5: Code of Conduct) 16. Do you agree to treat all participants with kindness and respect, regardless of romantic interest? (Yes/No)*

YesNo
17. Do you understand that this is a Christian event for intentional connection, not for casual hookups or inappropriate conduct? (Yes/No)*

YesNo
18. Do you understand that if you behave inappropriately, you may be asked to leave the event without refund? (Yes/No)*

YesNo
19. Final Declaration:*

I affirm that I have answered honestly and agree to uphold the values of Christian love, respect, and integrity at this event.
Signature*

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By pressing "Continue" it will submit your form and take you to the shop on our website to purchase your ticket
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