Med City Match Speed Dating Event

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Location: 10 Historic 3rd St. SW Rochester, MN 55902

LIMITED SEATING. Please complete this preliminary registration form. Someone from The Tap House will contact you with further instructions and to collect your registration fee. You are not registered for the event until your fee has been collected.

Registration Fee: $35

Email *

What is your name (first and last)? *

How old are you? *

What gender do you identify with? *

Female

Male

Transgender

Non-Binary

Prefer Not to Say

Other:

What is your sexual preference? *

Female

Male

Transgender

Non-Binary

Prefer Not to Say

Other:

What are you hoping to gain from this speed dating event? *

To meet new, like-minded people.

To find a romantic partner/connection.

To overcome shyness.

To have fun.

To gain dating/flirting experience.

To break out of a dating rut.

To save time.

To boost confidence.

Other:

Required

What is your phone number? *

A copy of your responses will be emailed to the address you provided.

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