Singleton Singalong Speed Dating
If you’d like to potentially find love this Valentine’s Day, please register your interest in taking part in the experience by filling out the form below
Sign in to Google to save your progress. Learn more
Name *
Email *
Date of birth *
MM
/
DD
/
YYYY
Where are you based? *
What’s your gender? *
What your sexual orientation? *
Please tell us about you and why you’d like to take part in the experience   *
I consent to POM contacting me with offers and other products of ours that we think you might be interested in. *
Terms & Conditions
By filling out the above form you are agreeing to POM contacting you about the experience and other products they think would be of interest.
Submit
Clear form
Never submit passwords through Google Forms.
GoogleForms
This content is neither created nor endorsed by Google.