Required Information to Request a Date

Copy and paste the information below into an email and direct communication to

It is important that you have 1 to 2 recent (within the last year) references for us to get together.

  • First & Last Name

  • Age

  • Residence City/State

  • Phone Number

  • Email

  • Preferred Day & Time

  • Preferred Location (City and Hotel)

  • Duration

  • Special Requests

  • Likes or Dislikes

  • References

  • How did you hear about me?