I want to participate in 35+ singles event HOT DATE, HARD PASS at The Momentary March 21st
One bachelorette takes the stage and turns up the charm with four hopeful bachelors, asking the flirty questions and sending home a hard pass each round until she picks her final hot date. Then we flip the stage with one bachelor and four bachelorettes.
Name
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First Name
Last Name
Email
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example@example.com
Exact url link to your Insta, LinkedIn or Facebook page (please refrain from simply putting name)
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Exact url link to your Insta, LinkedIn or Facebook page (please refrain from simply putting name)
Age, for matching purposes
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Height, for matching purposes
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I'm interested in matching on stage with
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Men
Women
Either
Highest level of education, for matching purposes
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Highschool or some college
Bachelor's degree
Master's or higher
Current job title, for matching purposes
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Rate the following in order of MOST to LEAST important to you, for matching purposes:
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Upload Head shot
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Browse Files
Drag and drop files here
Choose a file
Cancel
of
Upload other photos of you
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Upload a 30 second video of yourself (selfie is fine) explaining why you would be GREAT on stage having a first date in front of hundreds.
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Drag and drop files here
Choose a file
Cancel
of
Have you been on the dating apps in Northwest Arkansas?
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Yes, recently
Yes, greater than a year ago
No
If there are other singles that you believe may apply for this process and you DON'T want to be matched with on stage, drop their names below.
If chosen, you will be on stage in front of hundreds of singles. Entrants to the event are not vetted. 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?
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Yes
No
We will release the photos of a select few of the chosen singles on social media, to promote the event. At the event, your first name will be used on stage. (Your social media tags, contact info, last name, place of work or other identifying information will not be used) Do you consent?
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Yes, I consent to my photo being used
No, I am not comfortable with my photo being used
The onstage event will be filmed for release on Queenie Be and Momentary social media pages. Your name or identifying information other than what is spoken aloud on stage by the contestants, will not be released. Do you consent?
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Yes, I consent to being recorded on stage
No, I am not comfortable with my time on stage being recorded
Submit
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