• Initial Registration Form

    Welcome to SparkAbility! The IN person matchmaking company helping adults with disabilities in New Jersey find love, friendships, and confidence!

  • Ready to ignite your story?

    The registration below can be filled out directly by a new member or on behalf of a new member which we call a Supporter.

    Please complete all answers as accurately and truthful as possible!

    Once all the questions have been answered and submitted, you will receive an email sent directly to the email address inputted on the "Email Address (Email Used For Initial Contact)" question that will allow you to schedule a to select an information session to join to learn more about SparkAbility and all we have to offer!

     

    DISCLAIMER & SAFETY NOTICE:

    NEW JERSEY STATUTORY DISCLOSURE: SPARKABILITY,LLC DOES NOT CONDUCT CRIMINAL BACKGROUND SCREENINGS ON ITS MEMBERS.

    As a reminder, The services provided by SparkAbility are for social, relationship, friendship, and coaching purposes only. SparkAbility and its personnel are not considered medical professionals, healthcare providers, licensed therapist, mental health practioners, social workers, or legal advisors. SparkAbility services are not a substitute for professional medical advice, diagnosis, treatments, or crisis intervention. SparkAbility does not provide custodial care, medical overisght, personal care assitance, or emergency supervison. 

    For any immediate questions or concerns, please do not hesistate to reach out to Andy Santoro at andy@spark-ability.com

  • 1. Lets Get The Basics Down!

    Please answer the following questions to the best of your ability. SparkAbility will store this information in our database to help our matchers throughout the process!
  • Are you registering as a new member (yourself) or a supporter (on behalf of someone)?*
  • Do you want to add the member you are filing on behalf of contact information?*
  • Format: (000) 000-0000.
  • Members Date of Birth*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Members Gender
  • Do you want to add a supporter to all communication?*
  • Format: (000) 000-0000.

  • 2. What Are You Looking For?

    Now that we have some general information about you, please answer the following questions to the best of your ability so our team can help narrow down your options and give you more information about all our services we offer! If you are filing on behalf of someone, please answer these questions to the best of your ability!
  • What are you hoping to find and/or achieve through SparkAbility? (select all that apply!)*

  • 3. How Confident Are You?

    Now that we got some information about what your looking for and some of your interests and hobbies, now it times to let us know your confidence level in different settings and environments. Remember, there are no wrong answers! If you are filing on behalf of someone, please answer these questions to the best of your ability!
  • Do you get nervous meeting new people?*
  • Does the member you are registering for get nervous meeting new people?*
  • When out in public, what is your comfort level with meeting someone new?*
  • When out in public, what is the member you are registering for comfort level with meeting someone new?*
  • Have you ever been in a romantic relationship before?*
  • Has the member you are registering for ever been in a romantic relationship before?*
  • Do you find it hard or easy to find romantic relationships?*
  • Does the member you are registering find it hard or easy to find romantic relationships?*
  • Do you find it hard or easy to make new friendships?*
  • Does the person you are registering find it hard or easy to make new friendships?*
  • How do you meet new people currently? (Select All That Apply!)*
  • How does the member you are registering meet new people currently? (Select All That Apply!)*
  • Where do you feel like you need confidence in?*
  • Where do you feel like the member you are registering needs confidence in?*
  • Would you be interested in completing 1:1 classes with SparkAbility to build confidence?*
  • Would you be interested in joining a group session with other peers looking for the same level of confidence?*

  • 4. Lets Submit Your Profile!

    As part of registration, you may be asked to provide a photograph of yourself as a member or a Supporter may upload a photo of their member they are filing for. Submitted photographs are maintained securely in SparkAbility's internal administrative records. To protect Member privacy, SparkAbility distinguishes between internal administrative recordkeeping and sharing photographs with prospective friendship or dating matches. Please specify your photo sharing preferences below. Submission of a photograph through this form does not give SparkAbility permission to publicly post, display, or use the photograph for public advertising, social media, marketing, or promotional purposes. By submitting a photograph of the Member, the Supporter represents and warrants that they have the Member's consent or legal authority to provide their photograph for these internal identification and matchmaking purposes
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  • Privacy & Registration Acknowledgment


    Please review the following before submitting your registration.

    SparkAbility respects the privacy of our Members and Supporters. Information provided through this registration form will be collected and used by SparkAbility for purposes related to registration, communication, membership services, social activities, coaching, friendship and relationship matchmaking, and other SparkAbility services.

    Registration information may include personal contact information, disability-related information, interests, social and relationship preferences, photographs, and other information voluntarily provided through this form.

    Information submitted through this form may be stored and processed using third-party service providers used by SparkAbility, including Jotform and Google products such as Google Drive and Google Sheets. Please review the SparkAbility Privacy Policy for additional information about how SparkAbility collects, uses, stores, and protects personal information.

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