Registration Form


£75 Once off
valid for 12 months membership


£116 Once off
valid for 12 months membership

Personal Details

Address Details

Contact Details

Additional information

Additional information - Children

Your physical appearance

Education & Occupation

Hobbies / Interests / Sport

You & God

General Information

About You & Your Ideal Match

AnyBlack AfricanColoured / AsianCaribbeanCaucasian / WhiteHispanic / LatinoIndianMiddle EasternNative AmericanPacific Islands
Anywhere in EnglandAnywhere in ScotlandAnywhere in Northern IrelandCentral and East EnglandNortheast EnglandNorthwest EnglandSoutheast EnglandSouthwest EnglandNorth WalesSouth WalesNorth ScotlandSouth ScotlandEast Scotland

Final questions

Please note:

All fields in this form are required. We will not be able to compile your profile or supply you accurate matches without all information provided in full.

  • Fields marked with will appear on your profile.
  • All other fields unmarked with are for Administration/Record purposes ONLY and will NOT be included in your profile or for publication.
  • PLEASE NOTE: Member’s details are never posted on our website or any other publication/Social Media platform. Profiles (during selection process) are ONLY emailed to SELECTIVE members and NOT to all and sundry.
  • Any questions regarding the completion of Form, you are more than welcome to email or call us