Registration - Step 1
Personal details
Gender :
-- make selection --
Female
Male
Orientation :
-- make selection --
Bi-sexual
Gay
Straight
Full name :
[Fisrt name & Surname]
Email :
Telephone :
Mobile :
[e.g. 27821234567]
Home address and/or
residential suburb :
City :
-- make selection --
Cape Town
Johannesburg
Occupation :
Education level :
Religion :
-- make selection --
Agnostic
Atheist
Buddhist
Christian/ Catholic
Christian/ Orthodox
Christian/ Other
Christian/ Protestant
Hindu
Islamic
Jewish
Other
Spiritual, but not religious
Taoist
Referred by :
-- make selection --
Biz Community
Community Newspapers
Face Book
Flyer
Friend
Get It Magazine
Gumtree
Internet Search
iol online
Link-up Magazine
Longevity Magazine
MyGenius
Other
Pasella -SABC2
Top Billing - SABC3
Twitter
Vibrations Magazine
Word of mouth
Work collegue
www.cape-connect.com
YouTube
Picture :
Your photo, like all other info, is completely confidential. It assists us in making matching more accurate.
Type of dates :
8@8 group dates
1-on-1 dates
Newsletter signup :
Personal profile
Birth place :
[town/city, country]
Birth date :
[e.g 14 February 1985] or click
here
to select
Time of birth :
[e.g. 14:25 or approximate]
Marital status :
-- make selection --
Attached
Divorced
Married
Separated
Single
Widow/widower
Number of children :
Body type :
-- make selection --
Ample
Athletic
Average
Cuddly
Slim
Very cuddly
Ethnicity :
-- make selection --
Asian
Black
Coloured
Indian
Other
White
Hair colour :
-- make selection --
Auburn
Bald
Black
Blonde
Brown
Light brown
Other
Red
White / Grey
Height :
[e.g. 1.82]
Smoking :
Exclude people :
[people you would prefer not to meet again]
Required fields ...
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