1-Minute Throwback Dating Application Form (Women)

This form takes about 1 minute. Once you submit, I'll personally review your application and if we're a great fit, you'll be hearing from me!

Save my number so you don't miss my text — 662-MIX-TAPE (+1 662-649-8273)

❤️ Megan

Profile Information

First Name *

Last Name *

Event guests will see your first name only.

Email *

We will never share your contact information without your consent.

Phone *

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

Please select your age range (our community is singles in their 50s and 60s): *

What is your relationship status? *

How did you learn about Throwback Dating? *

What's the one thing that's been missing that brought you here today? *

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

Only Throwback Daters will see this photo when you register for an event. We don’t share this publicly without your permission.

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 best describes your annual discretionary income (your money left after essential expenses)?

This is optional and completely confidential, we never share this information with anyone. We ask simply to better understand and serve our community.

I understand this community is for active, financially independent singles in their 50s and 60s who value investing in experiences. *

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