Profile

First Name *

Last Name *

Phone *

Location *

Email *

What's the best way to reach you? *

DOB *

What COUNTY do YOU live in?

If County not listed, please scroll to the bottom and select "Other"

What Counties are you able to travel to, to meet someone? *

Please note: We highly recommend that you put Manhattan if you live outside of it. It allows for flexibility so that you can meet others there from areas that are generally hard to travel to.

Do you have a Legal Guardian? Meaning, someone legally obtained guardianship when you turned 18+ *

If so, what is their name and how are they related? Otherwise, write N/A

GENDER at birth *

Gender identity *

Sexual Orientation *

What is your Race? *

We ask that you include a parent, close relative or someone relevant in your life. WHAT IS THEIR NAME?

What's their relationship to you?

What's their PHONE number

What's their EMAIL

What is your height? *

Who do you live with? *

What do you do on the weekdays? Please explain in detail. If you have a job, tell us about the job. If there’s more than one thing, please list all things. *

Schooling- please check all that apply *

Do you drive? *

List any and all DIAGNOSIS, Handicaps, Difficulties, Problems, or Limiting Conditions you have. If none, please write N/A *

Are you interested in making Friends, Or meeting someone romantically? *

What RELIGION(s) were you born to? Choose all that apply *

What religion are you now? Choose all that apply *

How religious are you? *

How important is it to you to meet someone of the same religion as you? *

For the above question(s) that you answered "Other" to, answer here or write N/A

What are your deal breakers, things that would cause you to not want to meet a person? Otherwise, write None. *

Your best headshot Photo

Your best full body Photo

Government Issued Photo ID

How did you find out about us/Who referred? Please be very specific *

Please use this space to add ANYTHING ELSE you want us to know. If nothing, write “No”

Please only submit this form if you are serious about wanting to meet others and working with us. We will reach out to you within a week to tell you more about us and request additional information needed. If you do not plan on responding to us, do not submit your form until you are. Or, if you change your mind, please give us the courtesy of letting us know. If there are extenuating circumstances, please explain them in the last question, just above this.

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