Name *

First Name

Last Name

Phone

(###)

###

####

Age Group *

What is your age group? Select the ones you are most comfortable with.

18-25

25-35

35-45

45-55

55-65

65+

Budget

What is your budget? Select all that apply.

$0 - $20

$20 - $40

$40 - $60

$60 - $80

$80 +

Event Time

Preferred event times.

Weekday mornings

Weekday afternoons

Weekday evenings

Weekend mornings

Weekend afternoons

Weekend evenings

Dietary requirements

Select all that apply

Vegetarian

Vegan

Gluten-Free

No restrictions

Areas of interest

Select all that apply

Arts and Culture

DIY/Art Workshops

Sports and Fitness

Outdoor Activities

Book Clubs/Reading

Music and Concerts

Travel

Foodie

Volunteering/Community Service

Health and Wellness

Spirituality

Fashion and Beauty

Nightclubbing

Social Dancing

Movies/Theater

Neurospicy

LGBTQIA