Unexpected Connections 2024 Intake form
Please do not book if you have an expectation of equal ratio and age range.  This is not a singles event.

By completing and submitting this form you understand that there is not a guarantee of a equal ratio or age range. 

The event is a opportunity for you to learn and practice skills to make a unexpected connection.

Please ensure you provide the correct e-mail and contact and telephone number.

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Email *
Full Name *
Contact telephone Number *
Age *
Gender *
Occupation *
Location *
Getting to know you:
What have you found most difficult on your search to finding a marriage partner *
What do you think would make your search easier? *
Describe yourself in one word. *
This is a interactive event and will require your participation.  Is there anything I can help you with to make it accessible to you? *
Is there anything I can do to make the experience comfortable for you?
Thank you for submitting your form.      
A copy of your responses will be emailed to the address you provided.
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