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| > APPLICATION FOR PERMISSION TO DATE MY DAUGHTER > > TE: This application will be incomplete and rejected unless accompanied > by > a complete financial statement, job history, lineage, and current medical > report from your doctor. > > NAME______________________________________ > DATE OF BIRTH_____________ > HEIGHT__________ WEIGHT_____________ IQ________ GPA____________ > SOCIAL SECURITY #____________________ > DRIVERS LICENSE #________________ > BOY SCOUT RANK AND BADGES ________________________________________ > HOME ADDRESS_____________________ CITY/STATE___________ ZIP_____ > > Do you have ONE male and ONE female parent?__________ > If NO, explain ___________________________________________________ > > Number of years parents married________ > If less than your age, Explain __________________________________________ > > Do you own a van?_____ > A truck with oversized tires?_____ > A waterbed?_______ > A pickup with a mattress in the back?______ > Pornography?_______ > > Do you have an earring, a nose ring, or a belly button ring?________ > A tattoo?_____ > (IF YES TO THE ABOVE, DISCONTINUE APPLICATION AND LEAVE THE PREMISES) > > In 50 words or less, what does "LATE" mean to > you?_____________________________________________________ > _________________________________________________________> _________________________________________________________> _________________________________________________________ > > In 50 words or less, what does "DON'T TOUCH MY DAUGHTER" mean to > you?_____________________________________________________ > _________________________________________________________ > _________________________________________________________ > _________________________________________________________ > > In 50 words or less, what does "ABSTINENCE" mean to > you?_____________________________________________________ > _________________________________________________________ > _________________________________________________________ > _________________________________________________________ > > Church you attend_________________________________ > > How often you attend__________________________ > > When would be the best time to interview your: > Father ______ > Mother ______ > Pastor ______ > > Answer by filling in the blank. Please answer freely, all answers are > confidential. (that means I won't tell anyone EVER) > A: If I were shot, the last place I would want shot would > be __________________ > B: If I were beaten, the last bone I would want broken is > my __________________ > C: A woman's place is in the______________________________ > D: The one thing I hope this application does not ask me about > is ________________________________________ > E: When I first meet a girl, the thing I notice about her first > is ________________________________________ > NOTE: if answer to 'E' begins with T or A, discontinue. > Leaving premises, keeping your head low, and running > in > a serpentine fashion is advised. > > What do you want to do when you grow up?_____________________________ > > What is the current going rate of a hotel room?_____________________ > > > I SWEAR THAT ALL INFORMATION SUPPLIED ABOVE IS TRUE AND CORRECT TO THE > BEST > OF MY KNOWLEDGE UNDER PENALTY OF DEATH, DISMEMBERMENT, NATIVE AMERICAN > ANT > TORTURE, ELECTROCUTION, CHINESE WATER TORTURE, RED HOT POKERS, AND > HILLARY > CLINTON KISS TORTURE. > > ____________________________________ > Signature (that means sign your name) > > Thank you for your interest. Please allow four to six years for Ø processing. > You will be contacted in writing if you are approved. Please do not try > to > call or write. ©Juuky  |
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