Details for nominating me:

Nominee’s Name:

Nominee’s Age:

Nominee's Height:

Nominee's Weight:

Does nominee have children?
YES
NO

Nominee’s Occupation

Phone Number of Nominee:

Nominee's Email: *NO SPACES & LIST ONLY ONE ADDRESS

Nominee is at least 21 years of age *required

Nominee's Address:

Why should the person your are nominating be on The Bachelor?

Here is a picture that can be used to upload to the site: