Application to Date My Daughter
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Body: 1. Name__________________________________________
2. Date of Birth_____________________________________
3. Drivers Licnese #__________________________________
4. Home Address____________________________________
5. I.Q._____________________________________________
6. Number of years Parents married______________________
7. Do you possess A van? A truck with oversize tires? A waterbed? A tattoo? A ring in any body part?
A yes answer requires that you discontinue filling this form and depart the premises now!
8. In ten words or less what does "Late" mean to you?
9. In ten words or less what does "Don't touch my daughter" mean to you?
10. In two words or less what does "Abstinence" mean to you?
11. Church you attend______________________________
12. Frequency of attendance?_________________________
13. When is a convenient time to interview your parents and minister?__________
Answer the following: (please answer freely, your answers are confidential.)
If I were shot, the last place on my body I would want to be wounded would be:______________________________________
If I were beaten, the last bone I would want broken would be:_________________
A womens place is in the:_________________________
The one thing I hope this application doesn't ask is:________________________
When I first meet a girl, the thing I notice first is:__________________________
Note: if answer begins with "T" or "A", leave the premises immediately. (keeping low, dodging, and moving fast is advised)
What I want to be IF I grow up__________________________________________
I SWEAR THAT ALL INFORMATION SUPPLIED ABOVE IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE UNDER PENALTY OF DISMEMBERMENT, ELECTROCUTION, AND DEATH.
Signature:____________________________________
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