Love on the Vinyl Arizona Sign-Up Sheet 🎶💖
Film Date: June 27th (details will be given closer to film date)
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Age (Must be 21+ to participate)
*
Gender
*
Male
Female
Who are you interested in dating?
*
Men
Women
Social Media Handles (If none, Put N/A)
*
TikTok
Instagram
Not every episode is the same ( Are you ok with participating in fun challenges, different show themes etc.)?
*
YES
NO
Are you open to long distance, ideas of children/no children, different religious beliefs (basically have an open mind to different kinds of people)?
*
Yes
No
What is your favorite oldies song? Why?
*
Tell us about yourself and what you are looking for (Your preferences)
*
Why would you like to come on love on the vinyl?
*
Please upload photos of yourself (Minimum 1 selfie and 1 full body)
*
Upload a File
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