APPLICATION FOR PERMISSION TO DATE MY DAUGHTER
Print out and submit as per instructions at the bottom of the form.
Print out and submit as per instructions at the bottom of the form.
1. Name :__________Date of Birth :________
2. Height :______Weight :______GPA :_______
3. Social Sec. #_________Drivers license #_____
4. Boy Scout Rank :______________________
5. Home address :_________City/ State___________
6. Do you have one male and one female parent ? Yes ___ No ___
7. If no, explain____________________________________
3. Social Sec. #_________Drivers license #_____
4. Boy Scout Rank :______________________
5. Home address :_________City/ State___________
6. Do you have one male and one female parent ? Yes ___ No ___
7. If no, explain____________________________________
8. Number of years parents married :_____________________
9. Do you own a van ?___ A truck with oversized tires ?___A water bed ?___
10. Do you have an earring , nose ring , belly-button ring ?___A tattoo ?___
(If yes to any of #9 or #10, Discontinue application and leave premises ...
9. Do you own a van ?___ A truck with oversized tires ?___A water bed ?___
10. Do you have an earring , nose ring , belly-button ring ?___A tattoo ?___
(If yes to any of #9 or #10, Discontinue application and leave premises ...
11. In ten words or less, what does LATE mean to you ?______________________________________
12. In ten words or less, what does Abstinence mean to you ?______________________________________
13. In ten words or less, what does DON'T TOUCH MY DAUGHTER mean to you ?
______________________________________
14. Church you attend :_________ How often you attend :__________
15. When would be the best time to interview your Father, Mother, And Minister ? _____
16. What would you want to be IF you grew up ? _____________________________
Answer by filling in the blanks. Please answer freely - all answers are confidential
(that I won't tell anyone - ever- I promise).
If I were shot, the last place on my body I would want wounded is in the __________________________
If I were beaten the last bone I would want broken is my ________________________________________
The one thing I hope this application does not ask me about is ___________________________________
When I first meet a girl, the thing I notice about her first is___________________________________
(Note: If answer begins with T or A, discontinue and leave premises: Keeping your head low and running in
a serpentine fashion is advised. )
I SWEAR THAT THE INFORMATION SUPPLIED ABOVE IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE UNDER PENALTY OF: NATIVE AMERICAN ANT TORTURE, ELECTROCUTION,
CHINESE WATER TORTURE, RED HOT POKERS, DEATH, AND DISMEMBERMENT.
Signature (that means your name, moron)______________________________
Thank you for your interest. Please allow 4 to 6 weeks for processing. You will be contacted in writing if
you are approved. Please do not attempt to call or write. If your application is rejected you will be
notified by two gentlemen wearing white coats and carrying a violin case.
APPLICANT'S RIGHT THUMB PRINT IN BLOOD
12. In ten words or less, what does Abstinence mean to you ?______________________________________
13. In ten words or less, what does DON'T TOUCH MY DAUGHTER mean to you ?
______________________________________
14. Church you attend :_________ How often you attend :__________
15. When would be the best time to interview your Father, Mother, And Minister ? _____
16. What would you want to be IF you grew up ? _____________________________
Answer by filling in the blanks. Please answer freely - all answers are confidential
(that I won't tell anyone - ever- I promise).
If I were shot, the last place on my body I would want wounded is in the __________________________
If I were beaten the last bone I would want broken is my ________________________________________
The one thing I hope this application does not ask me about is ___________________________________
When I first meet a girl, the thing I notice about her first is___________________________________
(Note: If answer begins with T or A, discontinue and leave premises: Keeping your head low and running in
a serpentine fashion is advised. )
I SWEAR THAT THE INFORMATION SUPPLIED ABOVE IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE UNDER PENALTY OF: NATIVE AMERICAN ANT TORTURE, ELECTROCUTION,
CHINESE WATER TORTURE, RED HOT POKERS, DEATH, AND DISMEMBERMENT.
Signature (that means your name, moron)______________________________
Thank you for your interest. Please allow 4 to 6 weeks for processing. You will be contacted in writing if
you are approved. Please do not attempt to call or write. If your application is rejected you will be
notified by two gentlemen wearing white coats and carrying a violin case.
APPLICANT'S RIGHT THUMB PRINT IN BLOOD
_____________________________
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Very funny aritcle: check it out:
好搞笑, 哈哈, i just found out the list needs to fill in GPA !!
回覆刪除hahahahah...i LOVE the form, but if it can have more variations on the question, like MC/drawing..that will be more fun
回覆刪除