Deliberate Dating Offerings Waitlist

Please complete ALL questions below to be added to the student waitlist.

1.First & last name
2.Date and time of waitlist entry
3.What is your identified gender?
4.I am looking for my perfect-fit-partner who identifies as...
5.What is your current age?
6.Which Deliberate Dating offerings are you interested in? (Check all that apply)
7.What FORMAT of Deliberate Dating offering are you seeking enrollment in?
8.FOR 5-WEEK PROGRAMS: If you could "hand-pick" when you would want to attend your 2-hour classes for 5-weeks in a row, what days/times of the week would you choose? (I will use this information to inform my scheduling/planning decisions. Please be specific with 3 options for choices.)
9.What are your preferred email and phone number?
Thank you for completing this contact survey! I will reach out to you once I schedule my next Deliberate Dating Program to inform you of Open Enrollment. It will then be up to you to secure your paid spot in the program before all seats are filled. Coaching space is limited to 6 students in each 5-week program.