*First Name
*Last Name
*Age
*Birthdate (example
3/28/66)
* Male Female
*Address
*City
*State
Please Choose One
AL - Alabama
AK - Alaska
AZ - Arizona
AR - Arkansas
CA - California
CO - Colorado
CT - Connecticut
DE - Delaware
FL - Florida
GA - Georgia
GU - Guam
HI - Hawaii
ID - Idaho
IL - Illinois
IN - Indiana
IA - Iowa
KS - Kansas
KY - Kentucky
LA - Louisiana
ME - Maine
MP - Mariana Islands
MD - Maryland
MA - Massachusetts
MI - Michigan
MN - Minnesota
MS - Mississippi
MO - Missouri
MT - Montana
NE - Nebraska
NV - Nevada
NH - New Hampshire
NJ - New Jersey
NM - New Mexico
NY - New York
NC - North Carolina
ND - North Dakota
OH - Ohio
OK - Oklahoma
OR - Oregon
PA - Pennsylvania
PR - Puerto Rico
RI - Rhode Island
SC - South Carolina
SD - South Dakota
TN - Tennessee
TX - Texas
UT - Utah
VT - Vermont
VA - Virginia
WA - Washington
DC - Washington, D.C.
WV - West Virginia
WI - Wisconsin
WY - Wyoming
*Zip
*Home Phone
Work Phone
ext.
Cell Phone
*E-mail Address
*Confirm E-mail Address
Tell us about yourself
*My social situation is as follows:
Please Choose One
New to this area
Re-entering the social scene
Do not meet enough quality people Too busy to
meet new people
*My primary social goal
is:
Please Choose One
Making more friends
Business Networking
To date more successfully To have a steady
relationship with one person
Marriage
All of the above
*Education
Please Choose One
Some College
Junior College
Technical/Trade
4 Year Degree
Advanced Degree
Masters
PhD
*School Attended:
*Occupational Category:
Please Choose One
Advertising/PR
Engineering
Entrepreneur/Business Owner
Legal
Managerial
Medical
Professional
Public Sector
Sales/Marketing
Technical
Technology
Trades
Other
*Specific Occupation:
In an attempt to create
compatible and comfortable table arrangements, some clients prefer not to be
placed at tables with colleagues and co-workers. By sharing your place of
employment we can accommodate your preference.
Employer:
*Annual Income:
Please Choose One
Under $35,000 $35,000 - $50,000
$50,000 - $75,000
$75,000 - $100,000
$100,000 - $150,000
I could loan Bill Gates money
Prefer not to answer
*Do you smoke?
Please Choose One
Non Smoker Smoker
Occasionally
*Do you drink?
Please Choose One
Never Frequently
Socially
*Three words that describe your
personality:
*Athletic:
Please Choose One
Not at all Occasionally
Active
Very Active
*I enjoy the following sports:
Golf Tennis
Biking
Football
Soccer
Baseball/Softball
Basketball
Rollerblading
Snow Skiing
Scuba
Hiking/Camping
Rock Climbing
Running
Water Skiing
Swimming
Working Out
Other
HOLD DOWN CONTROL KEY AND CLICK TO SELECT MORE THAN ONE CHOICE
My other interests:
Theater Ballet
Movies
Museums
Local Travel
International Travel
Television
Boating/Sailing
Flying
Other
HOLD DOWN CONTROL KEY AND CLICK TO SELECT MORE THAN ONE CHOICE
*List three favorite social
activities:
*My mood:
Please Choose One
Usually Cheerful Usually serious
Up and down
Hard to read
*Sense of humor:
Please Choose One
Not Easily Amused I enjoy a good joke or story
I tell good jokes and stories
I’m the life of the party
I’m a regular stand up comedy act
*Height:
feet
inches
*Your Body Type (one of the following is required)
Your Body Type (Female):
Please Choose One
Thin
Thin/Toned/Athletic
Slender/Curvy
Med-Large/Toned/Athletic
Med-Large/Curvy
Plus Size/Full Figured
Your Body Type (Male):
Please Choose One
Thin
Thin/Toned/Athletic
Med-Large
Med-Large/Toned/Athletic
Body Builder
Large Lumberjack/Big Teddy Bear
*List any social
organizations, clubs,
volunteer activities you are involved in (including country & racquet clubs):
*Describe how you would spend the
perfect day off (Please limit answer to one paragraph):
Name someone (living/dead) you admire.
Why? (Please limit answer to one paragraph)
Table for Eight is designed with singles in mind. We only accept members that are
single, divorced or widowed. In order to properly match our members, it is
necessary to collect the following information regarding your single status:
*My single status:
Please Choose One
Single/Never Married
Divorced
Separated
Widowed
*Children:
Please Choose One
I have children
I have young children
I have no children
Desire children:
No preference
I desire to have children/more children
I do not want to have children
*My race is:
Caucasian
African Descent-Black
Asian
Hispanic-Latino
Native American
East Indian
Mediterranean
Arabic
South American
Polynesian-Micronesian-Melanesian
Other
Do you have a preference?
No Preference
Caucasian
African Descent-Black
Asian
Hispanic-Latino
Native American
East Indian
Mediterranean
Arabic
South American
Polynesian-Micronesian-Melanesian
Other
HOLD DOWN CONTROL KEY AND CLICK TO SELECT MORE THAN ONE CHOICE
*My religion is:
Catholic
Jewish
Protestant
Christian
Born Again
Hindu
Muslim
Buddist
Atheist
Agnostic
Other
N/A
Do you have a preference?
No Preference
Catholic
Jewish
Protestant
Christian
Born Again
Hindu
Muslim
Buddist
Atheist
Agnostic
Other
Tell us about the new people you would like to be introduced to
*What is your age range
preference?
to
Marital status:
No Preference
Never Married
Divorced
Widowed
Children:
No Preference
Has children
Has no children
Has no young children
Desires children
Does not want children
Interests:
Cultural
Outdoors
Athletic
Very Diverse Interests
Athletic:
No Preference
Very Active
Occasionally
Not at all
Smoking preference in
others:
No Preference
Smoker
Non Smoker
Drinking preference in
others:
No Preference
Never
Frequently
Socially
*What is your first priority when considering your
preferences:
Please Choose One
Age
Race
Religion
Marital Status
Child Status
Interests
Athleticism
Sports Interests
Body Type
Smoking Preference
Drinking Preference
*What is your second priority when considering your
preferences:
Please Choose One
Age
Race
Religion
Marital Status
Child Status
Interests
Athleticism
Sports Interests
Body Type
Smoking Preference
Drinking Preference
*What is your third priority when considering your
preferences:
Please Choose One
Age
Race
Religion
Marital Status
Child Status
Interests
Athleticism
Sports Interests
Body Type
Smoking Preference
Drinking Preference
Your
Participation
*I heard about Table For
Eight from:
Please Choose One
Friend
Improper Bostonian
Boston Event Guide
BYPA
ESPN Boston
Boston Now
Newspaper Article
Magazine Article
Buzz on the Street
If you heard about Table
for Eight from a friend, please give us their name so we may thank and reward
them for the referral.
Do you have any special
needs or circumstances that Table for Eight should be aware of?
Notice to
Patrons:
(Table for Eight, LLC. reserves the right to accept or decline all memberships.)
Each person attends events sponsored by Table for Eight, LLC at his/her own
risk, and Table for Eight, LLC shall not be liable for any loss or injury
sustained, either directly or indirectly, by any such person. In consideration
of the privilege of attending events sponsored by Table for Eight, LLC, patrons
waive any and all claims they or their heirs may have against Table for Eight,
LLC, it's owners, Managers, and employees. Furthermore, Table for Eight, LLC reserves the right to decline to schedule any individual for any future dinners
or other events sponsored by Table for Eight, LLC for any reason, whatsoever,
upon the refund of any unused dinner fees paid by such individual to Table for Eight,
LLC.
Table for Eight requires a copy of a valid drivers license or passport and a
recent photo. In order to complete the processing of all
memberships, applicants agree to provide these items.
To process your application, you must agree to the above stated terms by
typing AGREE in the following box:
and type your INITIALS in the following box:
Privacy Policy:
We maintain a commitment to the privacy of our members. Our privacy policy
strictly forbids that we sell or give out member information. We will not
entertain solicitations for such information.
© 2001 Table for Eight, LLC All Rights Reserved