Date Me Out Application Form
Only fill out if you are applying to be part of the event as a Contestant (Male) or panellist (Female)

Following the same format as 'Take Me Out' the Contestant will go through rounds to convince one of the 
Panellist to be his date. The panellist at any time can decide to pop a ballon if she becomes disinterested. 

There is no need to fill out this form if you only intend to watch as an audience member.

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Instagram or twitter handle *
Name *
Age *
Gender *
Email
Are you applying to be a contestant or panellist? *
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