Ireland’s Love Club – Register

Please enter your registration details below and click the button to pay via PayPal.

Note: This includes registration, meeting and matching. Date nights / weekend are pay as you go and rates differ (usually approx. €100)

Marital Status
SingleMarriedDivorcedLegally SeparatedCohabiting

Sexual Preference
Same SexWomanMan

What would you describe as your best characteristics? (you may choose more than one)
PatientKindGood HumouredConfidentEmpatheticOther

    Other:    

What areas are you passionate about? (you may choose more than one)
PoliticsSportCultureFashionEnvironmentReligionFoodMusicArtOther

        Other:        

Are you a smoker?
YesNo

Would you mind if your partner is a smoker?
YesNo

Do you drink alcohol?
NoSociallyOccasionallyDaily

Would you mind if your partner drinks alcohol?
YesNo

Would you mind if your partner had any children?
YesNo

Would you like children in the future?
YesNo

This application will be dealt with in the strictest of confidence.