Christian’s Pop The Balloon or Find Love: Participant Intake

Pop The Balloon or Find Love

Christian’s Edition
So, you’re ready to find love? Let’s see if we can help you do that, complete this form entirely.

Submitting this form does not guarantee you’ll be selected.
Name*

First NameLast Name
What city/state do you reside in?*
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Gender *
Race *
Language spoken*

EnglishSpanishOther
Age*
Date of Birth*

MonthDayYear
Date
Do you have any mental health issues? If so explain below.*

YesNo
Explain any mental illnesses/conditions
Do you have any disabilities we should know about? If so explain below.*

YesNo
Explain any disabilities
Occupation (If entrepreneur enter business name/description)*
Education level *
What dates are you available to participate in the show if selected?
The show is filmed on Saturdays and released on Sundays
What religion do you belong to?*
If you’re not a believer in Jesus Christ, this is NOT the show for you.
Relationship status*

Single, Never marriedWidowedDivorceOther, this is NOT the show for you
Are you dating/courting intentionally for marriage?*

Yes!No… this is not the show for you
You understand that this show is exclusively for heterosexual people ONLY. (Genesis 2::24)*

Yes
You believe that the crucifixion of Jesus was the death of Jesus by being nailed to a cross. (Matthew 27:32-56).*

Yes
What are you looking for in a relationship? What are your dealbreakers?*
This will help us to better cast each show
Why do you want to be on the show? What do you hope to gain?*
This will help us to better cast each show
"What are some of your hobbies and interests?"*
"What are your top three relationship priorities?"*
"What are your biggest fears in a relationship?"*
"What are some of the qualities you are looking for in a partner?"*
"What is your definition of love?"*
"What are your thoughts on commitment?"*
"What are some things you are not willing to compromise on in a relationship?"*
Do you have children, if so how many?*

1-23-45-6Other “more”
Upload photo of yourself *

Cancelof
Have you ever been on a tv, YouTube or any other dating show, reality show, or etc?

Yes, please give details belowNo
If you answered yes to the question above, please outline the details here.
What are your social media handles? *
Required
How will you commute to the show if selected?*

Live live in GeorgiaTake a flightDrive from my stateCatch the Greyhound
By submitting this participant questionnaire form, you are aware that you’re opting in to be a dating participant on Christian’s Pop The Balloon or Find Love, based in Atlanta, Georgia. You are completing and submitting this form at your own free will and discretion. You understand that by submitting this form does not guarantee you’ll be selected as a participant on our show. We reserve the right to cancel, deny, or reject any form or participant at our discretion. Christians Pop The Balloon or Find Love show is not forcing, paying, or bribing you to submit this form or attend this show. You relinquish the right to take any legal actions against the show, staff, and all affiliates. We are not responsible for transporting you to or from the show. We are not responsible for your housing situation, nor or we responsible to ensure all your personal necessities are fulfilled. You are entering to be a participant on our show at your own accord. You are solely responsible for your safety, wellbeing, and conditions at all times.*

Yes, I agree to the above statement
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Pop The Balloon or Find Love

So, you’re ready to find love? Let’s see if we can help you do that, complete this form entirely.