Lisa Ronis Personal Matchmaking: Lisa's Picks

New Client Registration Form

General Information
Name:
Sex:
Age:
Occupation:
Company Name:
Where are you from originally?
Where do you live currently?
Contact Information
Work number:
Work address:
Home number:
Home address:
Cell number:
Email address:
Personal Information
Religion:
Marital Status:
Do you have children? (if yes, how many and what ages):
Educational Background (please name college and graduate school you have attended, if any):
Physical Appearance (height, weight, hair):
Hobbies/Interests:
Animal Friendly? (if yes, do you have pets and how many?):
Describe the ideal match for you:
How did you find out about us?
Please email your JPG photo after submitting this form to Lisa@LisaRonisMatchmaking.com. *Applicant is required to have a face-to-face interview. At that time the suitability of the service for the applicant will be determined. Information provided is subject to verification.