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An Application For Permission 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.
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 parents? ___Yes ___No
Is one male and the other female? ___Yes ___No
If No, explain: ________________________________________________________________
________________________________________________________________
Number of years they have been married ______________________________
If less than your age, explain
________________________________________________________________
________________________________________________________________
ACCESSORIES SECTION:
A. Do you own or have access to a van? __Yes __No
B. A truck with oversized tires? __Yes __No
C. A waterbed? __Yes __No
D. A pickup with a mattress in the back? __Yes __No
E. A tattoo? __Yes __No
F. Do you have an earring, nose ring, pierced tongue, pierced cheek or a belly button ring? __Yes __No
(IF YOU ANSWERED 'YES' TO ANY OF THE ABOVE, DISCONTINUE APPLICATION AND LEAVE THE PREMISES IMMEDIATELY. I SUGGEST RUNNING.)
ESSAY SECTION:
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?
______________________________________________________________
______________________________________________________________
REFERENCES SECTION:
Church you attend ___________________________________________________
How often you attend ________________________________________________
When would be the best time to interview your:
father? _____________
mother? _____________
pastor? _____________
SHORT-ANSWER SECTION:
Answer by filling in the blank. Please answer freely, all answers are confidential.
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. What do you want to do IF you grow up? ___________________________
______________________________________________________________
______________________________________________________________
F. When I meet a girl, the thing I always notice about her first is:
______________________________________________________________
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, CRUCIFIXION, ELECTROCUTION, AND RED HOT POKERS.
_________________________________________________________
Applicant's Signature (that means sign your name, moron!)
_______________________________ ________________________________
Mother's Signature Father's Signature
_______________________________ ________________________________
Pastor/Priest/Rabbi State Representative/Congressman
Thank you for your interest, and it had better be genuine and non-sexual. Please allow four to six years for processing.
You will be contacted in writing if you are approved. Please do not try to call or write (since you probably can't, and it would cause you injury). If your application is rejected, you will be notified by two gentleman wearing white ties carrying violin cases.
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