I can confirm that I am a baptised Christian, and that I will be fully liable if this isnt so. *
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Date Chosen *
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Full Name *
Your answer
Age *
Your answer
Gender *
Relationship Status *
I understand that payment is non refundable unless in the rare occassion event isnt held. *
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I understand that J A Singles has no control over the amount of persons in attendance, but will do everything to facilate someone for a speed date within your reasonable age bracket, denomination, and of the opposite sex. *