ENTER FOR A CHANCE AT WINNING A ONCE IN A LIFETIME OPPORTUNITY!

Complete the bio below and you could be selected to work with our team of professional matchmakers FREE of charge ($2,450.00 value)!  As part of the process, we will be filming each of the stages with the hopes that the lucky winners love story can be shared with the world.

Good luck and remember everyone deserves to find that special someone… no matter what stage of life they are in.

Fill out the registration form below to complete your entry.  All forms are strictly confidential.

    TELL US ABOUT YOURSELF

    Date format: yyyy-mm-dd

    Are you a:SmokerSocial DrinkerNon-smokerNon-drinkerN/A

    What qualities are you looking for in a partner?

    Please make sure you have included two (2) photocopied pieces of identification, and a current photo with your application. Misty River Introductions does not offer refunds for any reason, however, if you would like to put your file on hold (while you pursue a relationship, are away for the winter, dealing with a prolonged illness, etc.) you can do this as many times as you require. If, however you fail to contact us or are not available to be matched for a period of 6 months, we will consider our contract fulfilled. If you find you don’t have enough room on the form to elaborate, please feel free to include anything extra you want me to know on a blank sheet of paper. By execution of this agreement, I herein acknowledge that Misty River Introductions is an introductions service only and makes no representations whatsoever as to the character, background,integrity and compatibility of any client relying exclusively on the information provided in its application form and does not obtain references or do criminal or credit checks or other background searches. I further acknowledge and agree that Misty River Introductions shall not be held responsible for the actions of any individual introduced to me through its service and shall not be responsible or liable for any loss, damage or injury whatsoever, be it either personal or monetary, suffered by me directly or indirectly as a result of an introduction from Misty River Introductions. I hereby understand that this agreement will be terminated and no monies refunded if I am found to be unserviceable because of drinking or drug related problems, socially unacceptable behaviour, or if I abuse another person verbally or physically or if I behave in a disrespectful manner to either staff or our clients. I undertake and agree that all information received by me with respect to other clients of Misty River Introductions including identity, address, occupation and phone number shall be held in strictest confidence by me. I herein authorize, direct and consent to Misty River Introductions providing its clients with any and all information provided by me in its client information form. I herein declare all information given by me in this form to be accurate and truthful.
    Maximum file upload size: 1 MB. Accepted file formats: .jpg, .png

    DatePlease select a date from the menu below. Date format: yyyy-mm-dd
    I agree that the entire process will be filmed with the intent that it will be edited and shown on television YesNo