Patti Stanger Project

Attention Los Angeles area singles!!! Are you ready to find true love with the guidance of the world-renowned Millionaire Matchmaker herself? We are thrilled to announce CW’s groundbreaking new matchmaking series, hosted by the legendary Patti Stanger, that aims to unite worthy individuals who have experienced challenges in their quest for love. Whether you're in your 30s or your 80s, we believe that everyone deserves a chance at finding their perfect match.

Patti Stanger, the esteemed matchmaker extraordinaire, brings her exceptional skills and unmatched expertise to help you navigate the complexities of modern dating. With an illustrious career spanning over two decades, Patti has garnered a reputation as one of the most successful and sought-after matchmakers in the world.

Patti's accolades speak for themselves. As the star of Bravo's hit show "Millionaire Matchmaker" for eight successful seasons, she has facilitated countless meaningful connections and witnessed numerous love stories unfold. Patti's innate ability to understand the intricacies of human relationships and her unwavering dedication to her clients make her an unparalleled force in the world of matchmaking.

This series is an unprecedented opportunity for individuals who have struggled to find love in the vibrant city of Los Angeles. If you have a compelling story that reflects the ups and downs of love, loss, or the difficulties you've faced along the way, we want to hear from you. Patti Stanger and her team of experts will guide you through a transformative journey, helping you discover the love you've been searching for.

So, if you're a remarkable man or woman who is at least 30 years of age and seeking a genuine connection, don't miss this chance to embark on a life-changing experience. Join Patti Stanger as she utilizes her exceptional talents to connect you with your soulmate. This is your moment to rewrite your love story and create a lasting, meaningful relationship.

Apply now and take the first step toward finding the love you deserve! Together, we can make magic happen in the city of angels.

First Name *

Last Name *

Your legal name as it appears on your government-issued ID: *

D.O.B. *

For verification purposes only pursuant to 18 U.S.C. §§ 2256 et seq.

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Phone number: *

Email *

Current Street Address:

City *

State *

Zip Code:

Facebook:

Instagram:

Emergency Contact Name, Phone & Email:

Have you ever appeared on a TV Show? (REALITY/GAME SHOW OR OTHERWISE) IN THE PAST 12 MONTHS? is yes, please list the show title and the dates that you have appeared: *

How did you hear about this opportunity?

Current Occupation:

What is your highest level of education?

What would you say is your net worth?

What is your living situation? Do you own your own home? *

Tell us about yourself and your background. What makes you a unique and interesting individual?

What do you think is your best physical asset?

Describe your family dynamic:

How would you describe your personality and lifestyle? What are your interests, hobbies, and passions?

Do you drink or smoke? If so, how often?

What is something we would not know about you just by looking at you?

Do you have any children?

YES NO

If you answered “YES” please list the ages of your children:

Do you want children?

YES NO

How long have you been single?

How long did your last relationship last? Why did you break up?

Describe your dating history and any challenges you have faced in finding love. What have been the major obstacles or setbacks you've encountered?

Why do you think you are single?

Where have you been looking for love? Have you ever sought the help of a professional matchmaker or dating service before? If yes, please provide details about your experience.

Tell us about the best and worst date you’ve ever been on:

Describe your current romantic life/sex life:

What are your goals and expectations when it comes to finding a life partner?

What are the primary qualities you seek in someone that you would want to have a relationship with? Please number them in order of importance (number 1 being most important).

What are your “deal-breakers” when it comes to dating?

What is your favorite physical attribute on a woman/man?

Please share a compelling personal story related to love, loss, or overcoming difficulties in relationships.

What would be your ideal dream date?

Are you interested in dating men, women or both?

What age range are you looking for? (Youngest and oldest or not important)

Height Range? (Shortest and tallest or not important)

Body Size/Type? (Slim, average, curvy, athletic or not important)

Salary they earn?

If they have children, is that a deal-breaker?

Is smoking a deal-breaker?

Is drinking a deal-breaker?

How important is religious belief when you look for a mate?

How would you feel about dating someone from other religions, races and cultures?

What personality traits are you most attracted to? (e.g., sense of humor, creativity, intellect, etc.)

What personality traits most repel you? (e.g., arrogance, stupidity, bad manners, etc.)

Who is your celebrity crush?

Upload a recent photo of yourself *

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Production is scheduled for this fall. Do you have any conflicts during September-October 2023? *

In the last seven (7) years, have you ever been convicted of a violent offense or felony? *

APPEARANCE RELEASE AND VOLUNTARY PARTICIPATION AGREEMENT *

APPEARANCE RELEASE AND VOLUNTARY PARTICIPATION AGREEMENT 1. I understand that Buckingham Television, Inc. (“Producer”) is producing the television program tentatively entitled “Patti Stanger’s Millionaire Matchmaking” (the “Program”), and that Producer would like for me to voluntarily participate in the production of the Program. In connection with my participation in the Program, I hereby grant to Producer the right to take motion and still pictures of me and record my voice and any sounds made by me, and to obtain other information about me, including but not limited to my name, likeness, photograph, voice, dialogue, sounds, biographical information, personal characteristics and other personal identification (collectively, the “Footage and Materials”), and to use the Footage and Materials in and in connection with the development, production, distribution and exploitation of the Program and any other production, and in the advertisements, merchandising, publicity, and promotions for the Program, any other production and for any entity that may sponsor, advertise in or exhibit in any manner the Program, the Footage and Materials, or any other production (the “Advertisements”). The Footage and Materials, the Program, and the Advertisements may be exploited throughout the universe at any time, in perpetuity, in any and all media, now known and hereafter devised, without any monetary compensation to me whatsoever. The rights granted herein shall also include the right to edit, delete, dub and fictionalize the Footage and Materials, the Program, and the Advertisements as Producer sees fit in Producer’s sole discretion. 2. I agree to participate in connection with the production of the Program and related materials as and to the extent requested by Producer on such dates and at such locations as Producer shall designate in its sole discretion, and which dates and locations Producer may change in its sole discretion. Further, once Producer and I agree on a mutually convenient production schedule for my participation in the Program, I agree to be reasonably available to Producer on such times and dates. Producer shall be the sole and exclusive owner of all rights (including, without limitation, copyrights) in and to the Footage and Materials. Any and all such Footage and Materials shall be deemed "works made for hire" specially ordered as part of a motion picture or other audio-visual work, and I waive the exercise of any “moral rights,” “droit moral,” and any analogous rights, however denominated, in any jurisdiction of the world, which I have. To the extent I retain any interest in the Footage and Materials, I hereby grant and assign to Producer all rights of any nature in and to all such Footage and Materials. Furthermore, the rights granted to Producer include any so-called “rental and lending” or similar rights and any and all allied, ancillary and subsidiary rights (including, without limitation, remake, sequel, theatrical, digital, television, radio, publishing, merchandising, soundtrack album and other similar rights) for any purpose, by and in any media whether now known or hereafter devised, throughout the universe, in perpetuity, as part of the Program or otherwise. 3. Producer has no obligation to me whatsoever. Without in any way limiting the foregoing, I acknowledge and agree that Producer is under no obligation to select me to participate in the Program or to include the Footage and Materials in the Program. 4. I represent and warrant the following: (a) I am mentally, physically, and emotionally able to participate in the Program; (b) I am not currently, and during one (1) year from today do not intend to be, a candidate for any public office; (c) my appearance in the Program is not a performance and is not employment and is not subject to any union or guild collective bargaining agreement, and does not entitle me to wages, salary, corporate benefits, unemployment or workers’ compensation benefits, or other compensation under any such collective bargaining agreement or otherwise; and (d) I will follow and obey all local, city, state and federal laws in connection with my participation in the Program, and any and all rules made by Producer in connection with the Program. 5. I represent and warrant that I have not (a) given anyone associated with the Program anything of value to arrange my appearance in the Program or the Advertisements or (b) accepted anything of value to promote any product service or venture on air in the course of my participation in the Program, and I understand that such acts may be a federal offense. Furthermore, I shall not mention or “plug” any product, service, venture, or thing on the Program without approval of Producer and/or Network. 6. I understand that I will not be paid for any and all of the rights listed in this Agreement and waive any right I may have to any compensation. I acknowledge and agree that a significant element of the consideration I am receiving under this Agreement is the opportunity for publicity that I will receive if Producer includes the Footage and Materials in the Program or in the Advertisements. I know Producer will incur significant costs and expenses in reliance upon this Agreement, so I will not attempt to cancel it or to revoke any of the rights granted to Producer herein. In no event will I have the right to seek an injunction or other equitable relief or to otherwise prevent the full exploitation of the rights granted in this Agreement. I acknowledge that I am a volunteer and that I shall not be deemed to be an employee of Producer, nor shall I be entitled to any employment benefits. To the extent that I receive anything of value in connection with the Program, including but not limited to goods and services, I shall be responsible for all taxes and other obligations that are or may become due from me. 7. I authorize Producer and the network to investigate, access and collect information about me and any of the statements made by me in this Agreement or otherwise in connection with my application to participate in the Program. I understand that upon execution of this Agreement, or at any time during my participation in the Program, Producer and the network may conduct an investigation of my medical and/or psychological status, criminal history (if any) and/or my personal and/or professional background. Such medical and/or psychological investigation may include my submitting to routine physical and/or medical exams conducted by professionals of Producer’s choosing on a date to be determined in Producer’s discretion taking into consideration my availability. In this regard, I consent to and agree to complete Producer’s required “Background Authorization & Disclosure Form” (to be separately provided). Further, upon request from Producer, I agree to complete an “Authorization for Release of Medical Information.” I hereby waive any physician-patient privilege, or any other type of privilege, I may have or that may arise with any physicians, psychologists, psychiatrists, therapists, health care providers (including both physical and mental health care providers), social workers, health care institutions, insurers and other individuals or entities (collectively, “Privileged Parties”) as a result of my participation in the participant selection process and/or the Program, and I hereby (i) authorize Producer to document, record, film, photograph or otherwise record and exploit, as part of the Material, any conversations, communications, examinations, sessions, appointments and/or other interactions I have with any of the Privileged Parties and (ii) authorize the release to Producer of all records and information concerning me, whether written, verbal, electronic or otherwise, from any of the Privileged Parties (or their affiliated institutions). I agree to sign any additional authorizations and Health Insurance Portability and Accountability Act of 1986 (“HIPAA”) waivers that Producer or a health care provider deem necessary to facilitate the release of such records. I shall notify Producer prior to participating in the Program of any physical, medical or mental condition that might affect me or any other people (including, without limitation, Producer’s representatives, agents and employees, and the other participants). Any information about me obtained by Producer pursuant to this paragraph may be used for purposes of evaluating, selecting or eliminating Program participants, or for any other purposes designated by Producer in connection with the Program. Without limiting any of the foregoing, any such information about me may be used, broadcast, exhibited, distributed, advertised, publicized, promoted or otherwise exploited as part of the Program. Furthermore, I understand and agree that any such information about me may be disclosed to other participants and may be used, broadcast, exhibited, distributed, advertised, publicized, promoted or otherwise exploited as part of the Program or otherwise disclosed, including on-camera. I unconditionally and irrevocably release and forever discharge Producer, the network, and the Privileged Parties from any and all claims, actions, damages, liabilities and losses arising out of or in connection with such investigations (including, without limitation, those who request information and those who provide any information). I specifically authorize investigation of my employment records, medical records, and government records (including, but not limited to, my motor vehicle records, criminal records, military records and credit and consumer reports). 8. I understand that I or other parties may communicate private, factual, or fictional information about myself that I might find humiliating or embarrassing or that is defamatory, disparaging or unfavorable and that the depiction of such information may portray me in a false light. I consent to the inclusion of this information in the Program and the exploitation of the Materials even to the extent such inclusion might otherwise constitute an actionable tort. 9. (a) I shall keep in strictest confidence and shall not disclose to any other participant or other third party at any time (i.e., prior to, during, or after the taping or exhibition of the Program) any information or materials of any kind that I read, hear or otherwise acquire or learn in connection with or as a result of my participation on the Program (collectively, the “Confidential Information”). Confidential Information includes, but is not limited to, any information or materials I learn or acquire concerning or relating to Producer or any television networks or distributors of the Program (“Network”), the business of Producer or Network, the terms and conditions of this Agreement, any program produced by Producer or exhibited by Network, including, without limitation, any information concerning or relating to the Program, the Program participants, the location(s) of the Program, the events contained in the Program or the outcome of any event in the Program. I acknowledge and agree that the Confidential Information is confidential and the exclusive property of Producer or Network. At no time will I ever, directly or indirectly, divulge in any manner, or use or permit others to use, any of the Confidential Information. My obligations with respect to confidentiality as set forth in this paragraph shall continue in perpetuity or until terminated by Network in writing. In no event shall I have the right to terminate my confidentiality obligations under this Agreement. (b) I acknowledge and understand that I shall not make any derogatory comments or statements of any kind in any media (including, without limitation, on any social media platforms) regarding any of the following: Producer (including, but not limited to, its employees and/or agents), the Network (including but not limited to its employees, agents, its programming services and/or any of its programming), and/or the Program (including but not limited to any of my fellow participants and/or the production thereof). (c) I acknowledge that any breach by me of any of the confidentiality provisions of this Agreement would cause Producer and Network irreparable injury and damage that cannot be reasonably or adequately compensated by damages in an action at law and, therefore, I hereby expressly agree that Producer and Network shall be entitled to injunctive and other equitable relief (without posting bond) to prevent and/or cure any breach or threatened breach of my confidentiality and Social Media obligations as set forth herein. I also recognize that proof of damages suffered by Producer and Network in the event that I breach such obligations will be costly, difficult, or inconvenient to ascertain. Accordingly, and without limitation of any other remedy available to Producer and/or Network, I agree to pay Producer and Network the sum of One Million Dollars ($1,000,000) per breach plus disgorgement of any income and/or consideration that I may receive in connection with my breach as liquidated damages in the event I breach my obligations as set forth herein prior to the initial launch of the last episode of the Program in which I appear. I agree that One Million Dollars ($1,000,000) plus disgorgement of any income and/or consideration that I may receive in connection with my breach is a reasonable estimate of the amount of damages Producer and Network are likely to suffer in the event I breach my obligations prior to the initial launch of the last episode of the Program in which I appear, considering all of the circumstances existing as of the date of this Agreement. Furthermore, I will defend, indemnify and hold harmless Producer, Network, each of their respective parent, subsidiary and affiliated companies, and each of their respective officers, directors, agents, representatives and employees, from any and all claims, actions, damages, liabilities, losses, costs and expenses (including, without limitation, attorneys' fees) that in any way arise out of or result from my breach of my Publicity and/or Confidentiality obligations as set forth herein. (d) Without in any way limiting the foregoing, I further agree that without the prior approval of Network in each instance, I shall not discuss the Program or my participation in the Program with any third party , except that I may make incidental, non-derogatory mention that I participated in the Program (i.e., “I participated in the program ‘Patti Stanger’s Millionaire Matchmaking’”) only after the earlier of the exhibition of the episode(s) in which I appear or the public announcement by Network of my participation in the Program. 10. I agree not to make any commercial or any other use of the fact that I appeared in the Program or that Producer used the Footage and Materials in the Program. Neither I nor anyone acting on my behalf shall at any time use any of Producer’s or Network’s names, logos, trade names or trademarks (including, but not limited to, the title of the Program), or those of any of Producer’s or Network’s related companies, for any purpose or in any manner whatsoever. 11. RELEASE, AGREEMENT NOT TO SUE AND INDEMNITY. To the maximum extent permitted by law, I (on behalf of myself and my heirs, executors, agents, successors or assigns) agree to release from liability, never sue, and bring no proceedings of any kind against Producer, Network, and/or any of their parents, subsidiaries, assignees, licensees, affiliates or anyone associated with the Program (the “Released Parties”) for any claims, actions, damages, losses, costs, expenses or causes of action whatsoever that in any way relate to this Agreement, my participation in the production of the Program, or the creation, use, or exhibition of the Footage and Materials, the Program or the Advertisements, on any legal theory (including, without limitation, failure to adequately compensate me, infliction of emotional distress, personal injury, rights of privacy and publicity, defamation, or false light), regardless of whether caused by the negligence or willful misconduct of the Released Parties (collectively, the “Released Claims”). I will defend and indemnify the Released Parties from any Released Claims and any breach or alleged breach by me (including breaches by me of this paragraph 10) relating to this Agreement. I shall be liable for any attorney fees and costs incurred by the Released Parties in connection with any claim or lawsuit I may bring in violation of this Agreement. 12. To the maximum extent permitted by law, I waive any and all rights I may have under Section 1542 of the Civil Code of California, and every like provision in any foreign jurisdiction. Section 1542 provides as follows: A GENERAL RELEASE DOES NOT EXTEND TO CLAIMS WHICH THE CREDITOR DOES NOT KNOW OR SUSPECT TO EXIST IN HIS OR HER FAVOR AT THE TIME OF EXECUTING THE RELEASE, WHICH IF KNOWN BY HIM OR HER MUST HAVE MATERIALLY AFFECTED HIS OR HER SETTLEMENT WITH THE DEBTOR. 12. In signing this Agreement, I am not relying on any representations or other statements that are not contained herein. The laws of the State of California, USA, shall govern this release. The state and federal courts located in the State of California, USA, shall have exclusive jurisdiction, to which I irrevocably consent, over any litigation, action or proceeding arising out of and/or relating to this Agreement and/or my appearance or participation on the Program, including any non-contractual claims or disputes. 13. As used herein, “Producer” shall include Producer, its licensees, successors and assigns, and each of their respective parents, subsidiaries, and affiliates, and each of their respective officers, directors, shareholders, employees, agents, representatives, successors, licensees and assigns. Network is an express intended third party beneficiary of this Agreement, with full standing to enforce each, every, any and all of its provisions as if it was an express party thereto. I agree that Producer may license, assign, and otherwise transfer this Agreement and all rights granted by me to Producer under this Agreement to any person or entity. 14. This is the complete and binding agreement between Producer and me, and it supersedes all prior understandings and communications, both oral and written, with respect to its subject matter. The illegality, invalidity or unenforceability of any provision of this Agreement shall in no way affect the validity or enforceability of any of the remainder of this Agreement, which shall be enforced to the maximum extent permitted by law. This Agreement cannot be terminated, rescinded or amended, except by a written agreement signed by both Producer and me. This Agreement may be executed by original, facsimile or electronic signature. Any signed copy of this Agreement delivered by facsimile or electronic transmission shall for all purposes be treated as if it had been delivered containing my original signature, and shall be binding upon me in the same manner as though an original signed copy had been delivered.

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