APPLICATION
TO
DATE MY DAUGHTER
NOTE: THIS
APPLICATION WILL BE INCOMPLETE AND REJECTED UNLESS ACCOMPANIED BY A COMPLETE
FINANCIAL STATEMENT, WORK HISTORY, LINEAGE, AND CURRENT MEDICAL REPORT FROM
YOUR DOCTOR.
1. NAME_________________________________
DATE OF BIRTH___/___/___
2. HEIGHT__________________WEIGHT___________IQ______GPA_______
3. SOCIAL SECURITY#______________DRIVERS LIC#_______________
4. BOY SCOUT RANK___________________________
5. HOME ADDRESS______________CITY/STATE_______________ZIP_______
6. DO YOU HAVE ONE MALE AND ONE FEMALE PARENT?_______________
IF NO, PLEASE EXPLAIN___________________________________
7. NUMBER OF YEARS PARENTS MARRIED?____________________
8. DO YOU OWN A VAN?________________MOTORCYCLE?______________
TRUCK WITH OVERSIZED TIRES?___________WATERBED?____________
DO YOU HAVE AN EARRING?____NOSE RING?____BELLY BUTTON RING__
9. IN 50 WORDS OR LESS, WHAT DOES DON'T TOUCH MY DAUGHTER MEAN TO YOU?__________________________________________________
10. IN 50 WORDS OR LESS, WHAT DOES LATE MEAN TO YOU?________________________________________________________
11. IN 50 WORDS OR LESS, WHAT DOES ABSTINENCE MEAN TO YOU?__________________________________________
12. CHURCH YOU ATTEND?________________________
13. WHEN WOULD BE THE BEST TIME TO INTERVIEW YOUR FATHER?_________MOTHER?___________PRIEST?__________
14. ANSWER BY FILLING IN THE BLANK. PLEASE ANSWER FREELY, ALL ANSWERS ARE
CONFIDENTIAL (THAT MEANS I WON'T TELL ANYONE)
A. IF I WERE SHOT, THE LAST PLACE ON MY BODY I WOULD WANT WOUNDED IS THE ________________
B. IF I WERE BEATEN, THE LAST PLACE I WOULD WANT BROKEN IS MY _____________
C. A WOMAN'S PLACE IS IN THE ______________
D. THE ONE THING I HOPE THIS APPLICATION DOESN'T ASK IS _________
E. WHEN I FIRST MEET A GIRL, THE THING I NOTICE FIRST IS HER ________
(NOTE: IF THE ANSWERS STARTS WITH A T OR AN A, DISCONTINUE APPLICATION
AND LEAVE PREMISES, KEEPING LOW AND RUNNING IN A SERPENTINE FASHION IS ADVISED.)
15. WHAT DO YOU WANT TO BE IF YOU GROW UP?________________
I SWEAR THAT ALL OF THE INFORMATION SUPPLIED ABOVE IS TRUE AND CORRECT TO THE
BEST OF MY KNOWLEDGE UNDER PENALTY OF DEATH, DISMEMBERMENT, NATIVE AMERICA AN
TORTURE, CRUCIFIXION,ELECTROCUTION, CHINESE WATER TORTURE, RED HOT POKERS, AND
HILLARY CLINTON KISS TORTURE.
_________________________________
SIGNATURE (THAT MEANS YOU SIGN YOUR NAME)
THANK YOU FOR YOUR INTEREST. PLEASE ALLOW FOUR TO SIX YEARS FOR PROCESSING.
YOU WILL BE NOTIFIED IN WRITING IF YOU ARE APPROVED. PLEASE DO NOT CALL OR WRITE
(AS IT WILL CAUSE YOU INJURY)
This Application Will Self Destruct in 1 Second.
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