Throwback Dating Application Form (Women)

Our community is everything so we've created this questionnaire to ensure we're a mutual fit.

This form should take you 3 to 4 minutes to complete.

Application to Join

What is your first name? *

And your last name? *

Event guests will see your first name only.

Please select your age range: (our community is over 45) *

How did you learn about Throwback Dating? *

If you selected "Other" or "Someone shared it with me" - please elaborate...

We want to be sure to thank our referral friends! Please share their name.

What is your relationship status? *

If currently “separated”, must have been living separate and apart for at least one year and have filed for divorce.

Share two fun or interesting facts about yourself. *

This will be used for the showcase email - sent the day of an event to all guests with your photo, first name and 2 fun facts.

What is your email? *

We will never share your contact information without your consent.

What is your phone number? *

Used for marketing contact from Throwback Dating. Message and data rates may apply. Message frequency varies. Reply STOP to cancel at any time.

Please upload your favorite headshot or selfie. The photo must be recent-taken within one year. *

This will be the photo that other guests see when you register to attend an event.

What is the zip code, city, and state where you live?

How would you describe your professional status? *

Describe what you do for a living as if you were on a first date.

We require a social media account to verify your identity. Copy and paste the URL. *

We review all applications and verify identities to keep our community safe and authentic for everyone.

Which option best describes your current financial comfort level? *

At Throwback Dating, we curate experiences that match our members’ interests and lifestyles. (Confidential - this will not be shared with other members.)

To engage in our Services, you must accept the terms of our member agreement and our privacy policy *

View our Membership Agreement and Privacy Policy here: https://www.throwbackdating.com/privacy