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CAPE TOWN EVENTS
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Executive Matchmaking
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Executive Matchmaking Sign-Up

Please complete the form below for Executive Matchmaking

Name *

Age *

Phone Number *

Email *

Gender

Select a Option

Male
Female

Gender preference in partner

Select a Option

Male
Female

Location *

Select a Option

Cape Town
Johannesburg
Durban

Residing area within location

Ethinicity *

Height *

Home Language *

Religious views *

Hometown – where you grew up *

Education Level *

Job Title & Company Name *

I live *

Select a Option

Alone
With parents
With housemate
With pets
With children
Other

3 Words that your friends would use to describe you *

Favourite hobbies and activities (name at least 3) *

Introvert or Extrovert? *

Introvert

Extrovert

A bit of both

Have you ever been married before? *

Select a Option

Do you have any children? If so, how many (and ages) *

Open to having children? *

Select a Option

Open to partner having children? *

Select a Option

Do you drink? *

Yes

Occasionally

Do you smoke? *

Select a Option

Yes
No
Occasionally

Do you experiment with drugs? *

Yes

Occasionally

Any tattoos or piercings? *

Select a Option

Tattoos
Piercings
Both
Neither

Qualities looked for in a partner (name at least 3) *

Ideal age bracket for your partner *

Preferred cultural/religious/ethnic backgrounds in a partner: *

Favourite physical features in a partner (name 3) *

Pet peeves/deal breakers (ie Smoking, religious etc): *

Preferred first date *

Coffee date

Drink

Please upload a FULL LENGTH photo of yourself, not older than 3 months *

No Choosen File

(Max 1024 MB)

Please upload a copy of your ID *

No Choosen File

(Max 1024 MB)

For screening purposes, please leave your Instagram or LinkedIn handle. *

Do you accept our terms and conditions? (Can be viewed on our website www.curatedconnections.co.za) *

Yes

Would you like to add on an Events membership? (Extra R200 – discounted from the usual R400) (Save R150 on each future event you’d like to attend) *

Select a Option

How did you hear about us? *

Select a Option

Cape Town ETC
Instagram
Facebook
LinkedIn
Tiktok
Google
Email marketing
Word of mouth
I’m a member

Facebook
Instagram