MATCH | 94.1FM Gold Coast

ALL QUESTIONS MUST BE ANSWERED

YOU WILL BE RQUIRED TO UPLOAD A PIC & DRIVERS LICENCE

First name

Last name

Phone

Briefly Describe Yourself - Likes - Dislikes

Upload a recent picture & current drivers licence

Upload File

Current Residential Address

Workplace & Address

Personal Referee & Phone Contact (Not A Family Member)

QUESTIONS ARE FOR THE SAFETY OF ALL PARTICIPANTS

94.1FM does not accept ANY responsibility for actions of ANY participant. The station is only providing a contact platform with all personal safety the responsibility of the participants.

94.1FM has permission to contact persons entered on this form.

94.1FM reserves the right to apply for a Police check.

I accept terms & conditions

Thanks for registering.

If selected 94.1FM will contact you by phone.

This call will be Recorded and Broadcast On Air