New Client Application
For singles interested in our Premium Service.

Complete the following Application to find out if we are able to conduct a Birth Date Search for you.

Once your name reaches the top of our waiting list, we'll be in touch. Average wait time: 30 days.

First Name

Middle Name, If Used

Last Name

Full Name You Introduce Yourself As

Name Most People Greet You By

Full Name at Birth

Selct Your Birth Month, Day and Year

Time of Birth

Place of Birth

Uncertain about your blood type? Click here.

Include below the years of birth (in chronological order) and genders for yourself and for all other kids who grew up in the same household as you. This will determine your birth order.

We'll search for your most magnetic and compatible Birth Date Matches within any range of years.

First Year

Last Year

Your Email Address

Questions / Comments?

Your information will be kept confidential. If we are unable to conduct a Birth Date Search for you, we will notify you and delete your data. If we proceed with your Application, we'll retain your data for 24 months or delete it immediately upon your request.

I agree to the Terms and ConditionsView terms of use

Pressing SUBMIT adds your name to our waiting list. When you reach the top of our list, we'll be in touch. Please expect a wait time of 30 days.

Thanks for submitting!

New Client Application For singles interested in our Premium Service.

New Client Application
For singles interested in our Premium Service.