Straight to 3rd Date


*RSVP FORM - "" indicates required fields**

*First Name:
*Last Name:
*Email:
*Re-enter Email Address:
*Ultra-Sexy Alias: (This will be on your name tag & what your dates will know you as at the event.)
*Date of Birth: (This will not be disclosed to any of your matches & is used to help us verify that you are registered for an event with others in your age range.)

*Contact Information - This will be the information disclosed to your matches. Choose the method(s) you feel most comfortable being contacted by- at least 1 method required:
Email:		Yahoo Instant Messenger ID:
Cell Phone:		MSN Instant Messenger ID:
Home Phone:		AOL Instant Messenger ID:
Myspace URL:		Other: (To protect the privacy & safety of our clients, please do not give out your home address.)

Optional Information

Ethnicity:		White Black Hispanic Pacific Islander Asian Native American Other
Do you prefer to meet people of a particular ethnicity?		Yes No
If yes, please list?
Do you prefer to meet people of a particular age range?		Yes No
If yes, what age range?
Highest level of education?
Do you prefer to meet people of a particular education level?		Yes No
If yes, what is the minimum level of education desired?
How did you hear about us?

Terms of Use Answering questions about ethnicity, age & education preferences does not guarantee you will meet only people who fit your preferences. This information is used to assist us in scheduling future events. This is an adult service. By registering for an event you confirm that you are at least 21 years of age. Straight To 3rd Date Ultra-Sexy Speed Dating assumes no responsibility for the actions of those you may meet at any of our events. Users should use discretion when exchanging personal information & meeting their dates after an event. By registering for an event you confirm that you will not engage in any form of harassment or offensive behavior that may cause other clients to become uncomfortable in any way. The fee paid for event registration is non-fundable but may be transferable. Please refer to FAQ’s for more information on rescheduling an event. Straight To 3rd Date Ultra-Sexy Speed Dating is a registered trade-mark of Platinum Love, LLC. I agree: Yes No

Notify me of upcoming events! Yes No