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please complete the registration process and proceed to "search for a date"

Now that you've decided you're ready to meet all those fit and fabulous people who are signed up with PickDate, let's get you registered. Take a few minutes to complete the information in the boxes below. You'll have a chance to review and confirm your responses at the end of this section.

Important: All fields marked with a red asterisk * are confidential and are used for administrative purposes only. We will not disclose any private information to anyone. Only the information contained in the fields marked with a blue asterisk * will be revealed as part of your profile. We promise!
*Username: *Password: *Email: *2nd Email:
 
*First Name: *Last Name: *Phone Number:
  
 
*Address 1: *Address 2: *City:
 
*State: *ZIP Code/Postal Code: *Country:
 
*How did you hear about us? *Date of Birth:
 
*Gender: *Height: *Eye Color:
 
*Hair Color: *Body Build: *Weight: *Race:
 
*Children: *Marital Status: *Sexual Preference:
 
*Level of Education: *I am Seeking: *Annual Income:
 
*Occupation: *Smoking Habits: *Drinking Habits:
If you have a messenger, you can have us display it in your profile. Please leave blank if you don't have one or don't want to use one.   * Type your Messenger User Name:
*Your Messenger:
 
 
 

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