Shot at Love 💘 Presented by Sippin with Steph Contestant Interest Form
Think you’ve got what it takes to find love, spark chemistry, and keep it real on camera? We’re looking for fun, confident, genuine singles who are open to connection, a little vulnerability, and a great experience. Fill out this form to be considered for Shot at Love presented by Sippin with Steph. Please answer honestly. Personality matters. Must be 21+ to apply.
Full Name
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First Name
Last Name
Email Address
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Phone Number
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City/State
Instagram Handle
TikTok Handle
Occupation
Are you 21 or older?
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Yes
No
Are you currently single?
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Yes
No
It's complicated
Pronouns
Age
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How would you describe your current dating life?
What are you genuinely looking for right now?
A real relationship
Someone to seriously date
Something casual
I’m open, but intentional
I’m not fully sure yet
What type of person are you usually attracted to?
What makes you a great catch?
Why do you want to be part of Shot at Love?
Which best describes your vibe?
Funny
Flirty
Chill
Ambitious
Sweet
Mysterious
Bold
Romantic
Loyal
A little toxic but working on it 😏
Other
Other
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Are you comfortable being filmed and featured in online/video content?
Yes
No
Maybe, depending on details
Have you ever been interviewed, filmed, or appeared on camera before?
Yes
No
If yes, tell us a little about that experience.
Are you comfortable going on dates, participating in challenges, and engaging in conversation on camera?
Yes
No
Maybe
Are you local and able to participate in filming/events in person?
Yes
No
Maybe, depending on schedule/location
What days/times are you generally available?
Weekday evenings
Weekday daytime
Friday nights
Saturdays
Sundays
Flexible
Do you have reliable transportation?
Yes
No
Sometimes
Are you willing to sign a consent/release form if selected?
Yes
No
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Please upload 2–3 recent photos of yourself.
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Optional: Share a short intro video telling us why you’d be great for Shot at Love.
Anything else you want us to know about you?
By submitting this form, you confirm that the information provided is accurate and that you understand submission does not guarantee selection.
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I agree
☐ I understand that if selected for Shot at Love, I am expected to arrive on time, communicate professionally, and provide at least 48 hours’ notice if I can no longer attend. I understand that last-minute cancellations or no-shows may affect future opportunities with Sippin with Steph.
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