CoronaCrush Virtual Speed Dating
  • 📅The event will take place on Sunday, June 11th, 2023 at 9:00PM Eastern Time.
  • 💳We require a $18.00 deposit to partake in this event. Your deposit will be returned to you once your participation has been confirmed.
  • 🔒None of the information you provide will be shared externally.
  • âš¡This form takes 3 minutes to complete.
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What's your first and last name? *
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What's your email address? *
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Please confirm your email address: *
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What's your cell phone number? *
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What's your gender? *
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What gender are you seeking? *
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What's your date of birth? *
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Please confirm your age: *
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What's the youngest age you'd be willing to date? *
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What's the oldest age you'd be willing to date? *
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Your parents are: *
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Where do you live? *
If you live in a country that isn't in the list, please let us know!
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Which city? (select nearest city) *
If you live near a big city that isn't in the list, please let us know!
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What language(s) do you speak? *
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Are you open to a long distance relationship? *
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Do you keep Shabbat? *
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I'm open to date someone who keeps Shabbat: (select all that apply) *
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Do you keep Kosher? *
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I'm open to date someone who keeps Kosher: (select all that apply) *
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Do you give CoronaCrush and DateNight AI permission to use the data provided for matchmaking purposes? *
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