First Name *
Last Name *
Have you ever formally or otherwise changed your name? If so, what names have you used and why? *
Phone number *
Email *
City *
State *
Age *
What is your date of birth? *
What is your current occupation? *
How did you hear about our casting? *
Who is your main point of contact on the casting team (if any)? *
What is your son's name, age, and current city/state?
What is your son's current relationship status?
Please give a brief description of your son's relationship history.
Why is NOW the perfect time for your son to find love?
Why do you think your son hasn't found his perfect match yet?
How would you describe the perfect partner for your son? Be specific!
Are you currently single, and if so, for how long?
Please give a brief description of your relationship history.
What obstacles are you currently facing in the dating world? *
What are your dating preferences (type/look/personality/career/etc)? *
How would your mom describe your dating habits and preferences? Do you tend to agree with her? *
Why is NOW the perfect time for you to find love!
Please upload a photo of yourself. *
Please upload a photo of your son (if you're a mom applying), or your mom (if you're a son applying). *
Instagram handle *
Facebook page *
YouTube Channel *
Twitter *
Snapchat *
TikTok *
Do you have an OnlyFans or any personal pay subscription accounts? *
Please include any other social media accounts you have that are not listed above. *
Requirements for Eligibility *
NEED FROM OWN/LEGAL
Please list any prior TV appearances you have had with show titles and years. *
Are you currently being considered for any other television show? If YES, please provide details. *
Are you available for approximately two weeks of filming from June to August? Are there any dates where you are unavailable during those months? *
Do you have any tattoos? If so, how many and where are they located? Do the tattoos include any brand logos, brand names or slogans, or any designs? Please explain. *
Please confirm that you have read the Eligibility Requirements and Application Release *
Please confirm that you have read the Terms & Conditions *
PLEASE READ the ITV America Casting Privacy Policy.
I confirm that I have read and agree to be bound by ITV America's Privacy Policies.