Please complete
this registration application
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State/Province (US & Canada only):
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Country:
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Date of Birth:
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Height:
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Body Build:
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Hair Color:
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Color of Eyes:
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Ethnicity:
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Marital Status:
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Children:
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Custody:
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Religious background:
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Physical activity:
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Astrological sign:
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I am seeking:
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Level of Education:
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Annual income:
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Smoking habits:
Drinking habits:
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How important is Appearance?
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Weight :
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How Important is Intelligence?
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I
would be willing to relocate
(for the right person..)
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Politics:
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I would like to have (more) children?
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Adventurous
Argumentative
Artistic
Clean-cut
Compulsive
Conservative
Earthy
Easygoing
Eccentric
Flexible
High Energy
Shy
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Humorous
Intellectual
Liberal
Musical
Nurturing
Practical
Quiet
Romantic
Sensitive
Serious
Simple
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Sophisticated
Spiritual
Spontaneous
Stubborn
Talkative
Unconventional
Wild
Witty
Worldly
Low Maintenance
High Maintenance
Procrastinator
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Backgammon
Bridge
Camping
Canasta
Cooking
Shopping
Weekend Trips
Adult Board Games
Pool Billiard
Sailing
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Chess
Eating
Hiking
Partying
Scrabble
Sewing
Flying
Motorcycling
Hunting
Fishing
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Surfing the web
Traveling
Watching Videos
Writing
Intimate Conversations
Listening to Music
Folk Dancing
Dancing
Gardening
Adventure Travel
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Cajun
Chinese
Continental
Deli
East-European
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French
Indian
Italian
Japanese
Mexican
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Mediterranean
Russian
Thai
Sushi
Vegetarian
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Big Band
Blues
Classical
Country
Folk
Opera
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Heavy Metal
Jazz
New Age
Oldies
Rap
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Reggae
Middle Eastern
Classic Rock n'Roll
Modern Rock n'Roll
Soul
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Fiction
Non-Fiction
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Magazines
Newspapers
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Poetry
Trade Journals
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Art Galleries
Ballroom Dances
Bars
Bookstores
Clubs
Comedy Clubs
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Concerts
Libraries
Movies
Museums
Parks
Restaurants
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Sport Events
Shopping Malls
Theater
The Beach
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Favorite physical
activities:
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Baseball
Basketball
Bicycling
Boating
Bowling
Football
Jet-skiing
Jogging
Sky Diving
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Ping-Pong
Rafting
Snow skiing
Squash
Surfing
Swimming
Tennis
Golf
Snow Boarding
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Volleyball
Walking
Water Skiing
Working Out
Rock Climbing
Roller-blading
Roller-skating
Scuba Diving
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