March 3 Speed Dating at the Baymont is being RESCHEDULED! Please stay tuned for more information!

Please fill out the form below to register for Speed Dating!

Name (first and last) -- Please provide your REAL name. We will request to see your ID when you check in at Speed Dating.(required)

Email(required)

DOB(required)

Phone Number(required)

Sex(required)

Female

Male

Dating Preference(required)

Straight

Bi

Lesbian

Gay

What age range are you interested in meeting?(required)

Do you have children who live with you?(required)

Yes

No

Do you smoke?

Yes

No

No but I would date a smoker.

Do you drink alcohol?

Yes

No

Are you affiliated with a religion?

Yes

No

Are you registering with a friend? If so, please state their name below.

Yes

No

Friend's name:(required)

I am registering for:(required)

Just add me to your Speed Dating mailing list for now.

If there's anything you'd like for us to know, please state it here!

Submit

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*Any information collected is for event-planning purposes for Aurora B. Events, and will not be shared with anyone for any reason at any time.