Number of years your parents have been married __________ 8. ____________________________________________________________________ 12. Church you attend __________ How often do you attend? When would be the best time to interview your father, mother and priest/rabbi/minister? Answer by filling in the blank: please answer freely. Signature (That means your name, moron) ______________________________ Thank you for your interest. You will be notified in writing if you are approved. If you do attempt any communication before your application is approved, automatic disqualification will result.
SOCIAL SECURITY ______-____-________ DRIVERS LICENSE # __________ 4. HOME ADDRESS ____________________________________________ CITY/STATE __________ ZIP __________ 6. Y / N If No, EXPLAIN ___________________________________ 7. (If "yes" to any of #8, discontinue application and leave premises) __________ 9. ____________________________________________________________________ 10. In 50 words or less, what does "DON'T TOUCH MY DAUGHTER! ____________________________________________________________________ 11. In 50 words or less, what does "ABSTINENCE" mean to you? ___________________________ 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, AND RED-HOT POKERS.
___Yes ___No#of years they have been married ______If less than your age, explain why ______________________________________If not explain why ___________________________________________________ ACCESSORIES SECTION: A. Rule Two: If you date my daughter you date only her. Rule Three: You must know how to cook as well as I have taught my daughter(s) to cook. Rule Four: Do not be hurt when my daughter chooses a day at the spa with me over sports or gaming time with you.
A woman's place is in the: ______________________________________D.
Do you have an earring, nose ring, belly button ring, or a tattoo?
(REVOCABLE AT ANY TIME) NOTE - 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: _______________ 2. HEIGHT:___________ WEIGHT: ______IQ: ________GPA: ______ 3. SOCIAL SECURITY #: ___________DRIVERS LICENSE #: _________ 4.
APPLICATION TO DATE MY DAUGHTER NOTE: This application will be incomplete and rejected unless accompanied by a complete financial statement, job history, lineage, and current medical report from your doctor. The one thing I hope this application does not ask me about is: ______________________________________________________________E. __________________________ ______________________________________________________________ ______________________________________________________________F. When I meet a girl, the thing I always notice about her first is: ______________________________________________________________G. ______________________ RULES: Initial each Rule after reading.
NAME_______________________________________ ALIASES ______________DATE OF BIRTH_____________ HEIGHT___________ WEIGHT____________IQ__________ GPA______________ SOCIAL SECURITY#________________DRIVERS LICENSE #________________ IQ _________ BLOOD TYPE _____BOY SCOUT RANK AND BADGES________________________________________HOME ADDRESS_______________________ CITY/STATE___________ ZIP______Do you have parents? Rule One: If you talk with foul words and dress like a bad ass, a punk or a wanna-be-gangster I will toss you right out on your tush.
______________________________________________________________________ ______________________________________________________________________ In 50 words or less, what does ABSTINENCE mean to you? 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: _____________________________________________________________________ What do you want to do IF you grow up? If I were beaten, the last bone I would want broken is my: ______________________________________________________________C. ______________________________________________________________ ______________________________________________________________ REFERENCES SECTION: Church you attend _______________________________________________How often you attend ____________________________________________When would be the best time to interview your:father? Please answer freely, all answers are confidential. If I were shot, the last place I would want shot would be: ______________________________________________________________B. _______ Do you have an earring, nose ring, or belly button ring?ALL answers are confidential (That means I won't tell anyone-ever-I promise.) a) If I were shot the last place on my body I would want wounded is ________ 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 first thing I notice about her Is ( NOTE: If your answer begins with "T" or "A", discontinue.