Join The Dating Circle

Basic Information

First Name

Last Name

Your Email

Birthday

Gender Identity

Who are you interested in dating?

Where are you located?

Where are you located? (Other)

Relationship Goals and Preferences

What’s your relationship goal?

What’s your relationship goal? (Other)

What’s your ideal age range for a partner?

What’s your current relationship status?

Do you have children?

If so, are you open to dating someone with children?

Do you want children?

What is your religion?

What is your religion? (Other)

How important is it for you and your partner to share similar religious or spiritual beliefs?

What are your non-negotiables in a relationship like your desired values, habits, and lifestyle choices?

Personality and Lifestyle

What’s a fun fact about you that people wouldn’t guess?

How do you typically spend your weekends?

How do you typically spend your weekends? (Other)

What are your top 3 interests or hobbies?

How do you typically approach budgeting or managing your finances?

Tell us more

What’s your diet like?

Tell us more

What’s your fitness routine like?

What’s your fitness routine like? (Other)

What’s your occupation?

What’s your education level?

What’s your education level? (Other)

What type of nightwear best reflects your personality?

What type of nightwear best reflects your personality? (Other)

What would your dream birthday celebration look like?

Communication and Connection Style

What are your primary love language(s)? (Other)

What’s your preferred way to get to know someone?

What’s your preferred way to get to know someone? (Other)

Optional Video Submission

Please upload a optional video introducing yourself. No pressure! Just be yourself. Get the Jelly app to record your video submission.

Drag & Drop Files Here

Browse Files

A video submission is required if you want to be considered for the show. Video submissions may be submitted now or later at play@loveversa.com with the subject as “Video Submission - YOUR NAME”

Last Notes

Feel free to pour your heart out and share any last notes with us that will help us decide if you are a good fit for the LoveVersa network.

Privacy & Confidentiality

We value your privacy and are committed to protecting your personal information. All responses you provide in this form will remain confidential and will only be used for the purpose of matching you with suitable connections or for internal purposes related to our services. We will not share, sell, or distribute your information to third parties without your consent, except where required by law. By submitting this form, you agree to our privacy policy and terms of service.