Rent a Date

Women's Profile form

Personal information

Contact information

Habits

Do you .....

Smoke?
Drink? Check the boxes that apply
Do drugs?

Tell us about yourself

Please try to describe your personality:
Special skills or talents:
Things that I like to do:
Things that I don't like:
Things that I'm interested in:
Why I would make a great Date:
What type of availability would you have?
How did you hear about us?

What do you look like?

Height:
Weight:
Hair Color:
Eye Color:
Chest Size: add (A, B, C, D, Etc.)
Waist Size:
Ethnic Background:
Birth date:
Do you have a car?	Yes No Sometimes
Please send a picture of yourself?
Note: Only JPG and GIF file types are allowed with a 500K file size limit.

Sending a picture is always very helpful

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