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Why Black Rock VIP Club
Our Mission
Matchmaking Services
Celebrity/Ultra-High-Net-Worth Individual Matchmaking
Contact Us
Home
Why Black Rock VIP Club
Our Mission
Matchmaking Services
Celebrity/Ultra-High-Net-Worth Individual Matchmaking
Contact Us
RSVP
Home
Why Black Rock VIP Club
Our Mission
Matchmaking Services
Celebrity/Ultra-High-Net-Worth Individual Matchmaking
Contact Us
Home
Why Black Rock VIP Club
Our Mission
Matchmaking Services
Celebrity/Ultra-High-Net-Worth Individual Matchmaking
Contact Us
Membership Invitation
Membership Invitation
Home
Why Black Rock VIP Club
Our Mission
Matchmaking Services
Celebrity/Ultra-High-Net-Worth Individual Matchmaking
Contact Us
Home
Why Black Rock VIP Club
Our Mission
Matchmaking Services
Celebrity/Ultra-High-Net-Worth Individual Matchmaking
Contact Us
Membership Invitation
Black Rock VIP Club Invitation Questionaire
Full name
*
LinkedIn / public profile (if any)
*
Age today
*
Date of Birth
*
Phone Number
*
Email Address
*
Current city / cities of residence (primary + secondary)
*
City
State/Province
ZIP / Postal Code
Current relationship status
*
Single >18 months
Quietly separated
Divorced (final)
Other
What type of relationship you looking for?
*
Select
Life Partner/Marriage?
Long Term/Committed Confidant?
Short Term/Open to Long Term?
Short Term/Casual?
You looking for male or female partner?
*
Select
Male
Female
Do you have children?
*
Select
Yes
No
Ages of the children
Living with you
Select
Yes
No
Part time
Full time
Height (Barefoot)
*
Approximate Current Weight
*
Highest level Education
*
Current or Most Recent Occupation
*
Approximate Personal Net Worth (Liquid + iliquid, USD)
*
Source of wealth (check all that apply)
*
Inherited / family office
Tech founder/Exit
Finance/PE/HF
Real Estate
Entertainment/Sports
Other Self-Made
Royalty / Sovereign
Have you ever used another high-end matchmaking service or “introduction network”?
*
Select
Yes
No
Agency name and Year (s) of participation
How did you hear about us? Must enter specific name
*
Are you willing to travel or relocate for the right person?
*
Yes, anywhere
Yes, within reason
Prefer partner relocates to me
Do you require a prenup in any future marriage?
*
Yes
No
Depends
Age range you are seriously open to
*
Do you want (more) children?
*
Yes, biological
Yes, any method
Open if partner wants
No
Top 3 absolute deal-breakers (examples: smoking, wants kids, active social media, certain political views, etc.)
*
What are 3 most important qualities you looking for in your ideal partner?
*
What are best 3 qualities you would say you have?
*
What are 3 biggest limitations in your personality would you like to work on to improve your relationship with yourself and others? (Be open and honest)
*
Anything in your past (legal, media, romantic, substance-related) that could become public if you date someone high-profile?
*
No
Yes
Brief Explanation Required
*
Attach 4–6 recent, unfiltered photos (full body + close-up, no sunglasses, taken within 12 months)
*
Choose File
No file chosen
Delete uploaded file
Consent & signature:
*
I confirm all information is accurate and understand this is used solely to determine eligibility. False answers will result in permanent exclusion from this firm. Prospective principal warrants no felony convictions or sex offender registration requirements. Company reserves the right to perform various background checks using public records at any time. Prospective principal authorizes such checks.
Signature
*
Start signing your signature here
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Date
*
Submit
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