I want to participate in a BLIND DATE ON STAGE Feb 7th, at The Momentary
You will be onstage, blind folded, chatting and flirting with another single, in front of the crowd. You will then have the opportunity to THUMBS UP or THUMBS DOWN on proceeding to a date night, ON US!
Name
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First Name
Last Name
Email
*
example@example.com
Phone Number (not required, but suggested for ease of contact)
000-000-0000 ex
Age (for blind date matching purposes)
*
Social media link:
*
Social media link:
Photo of you
*
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Headshot of you
*
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Why would you be great in a first date on stage?
*
Upload a 30 second video of YOU (selfie is fine) explaining why you would be GREAT on stage, on a blind date in front of hundreds.
*
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Queenie Be and The Momentary are not responsible for and assume no liability for any interactions, communications, or relationships that occur before, during, or after the event. Do you agree to this?
Yes
No
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