Love is Blinders Application

Please, enter a valid first name First Name - Required Please, enter a valid last name Last Name - Required Please, enter a valid email Email - Required Please, enter a valid phone number Phone Number - Required Please, enter a valid sexual orientation Sexual Orientation - Required

Sexual Orientation Straight Gay Bisexual Other

Please, enter a valid are you available fridays after 7pm? Are you available Fridays after 7PM? - Required

Are you available Fridays after 7PM? Yes No

Please, enter a valid instagram handle Instagram Handle - Required Please, enter a valid tik tok handle Tik Tok handle - Required Please, enter a valid tell us why you'd be a good fit for love is blinders! (min 100 words) Tell us why you'd be a good fit for Love is Blinders! (min 100 words) - Required Please, enter a valid fun fact about yourself! Fun Fact about yourself! - Required