Profile Form

Please complete this profile form for entry into the 5 Minute Crush service.

About Me

First Name *

Last Name *

Email *

Phone *

Profile Picture *

Age *

Preferred Name/Nickname *

City/Town *

State *

Country *

Preferred days for event *

Match Preferences

Preferred State *

Preferred Country *

By registering for a 5 Minute Crush event, I acknowledge and agree:

☐I have never been convicted of any crimes including any sexual offenses

☐ I understand that 5 Minute Crush provides opportunities to meet new people, but does not guarantee compatibility, matches, relationships, or outcomes.

☐I will always leave my camera on during all events

☐ I will treat all participants respectfully.

☐ I understand that harassment, discrimination, threatening behavior, or inappropriate conduct may result in removal from the event without refund.

☐ I understand that participants are responsible for their own personal safety and decisions regarding future contact or meetings.

☐ I release and hold harmless 5 Minute Crush, its owners, employees, volunteers, and affiliates from claims arising from participation in the event, except where prohibited by law.

I accept the Terms and Conditions