Application To Date My Daughter

Application To Date My Daughter

This application must be answered in full prior to permission being granted
to date my daughter. Remember all answers will be checked for valid responses.
Please consult your life insurance agent to verify that all beneficiaries
are current and additional coverage is applied for if needed prior to turning
this application in.


Name:_________________ Date of Birth:___________________
Home Address:_______________________________ City:__________ 
County:______________________ Postcode:___________
Social Security #:________________________________  
Drivers License #:________________________________
Height:_________  Weight:__________  I.Q.:________ 
Education Completed:______________________________
Boy Scout Rank:_____________

1. Do you have one male and one female parent? (Yes / No)

If no, explain: ____________________________________________

2. Do you own a van? (Yes / No)
   a truck with over-sized tires? (Yes / No)
   a waterbed? (Yes / No)
(Note: if you answer yes to any of #2, put down your pencil,
discontinue application, and leave premises)

3. In 50 words or less, what does LATE mean to you?_________
____________________________________________________________
____________________________________________________________
____________________________________________________________

4. In 50 words or less, what does DON'T TOUCH MY DAUGHTER 
mean to you? _______________________________________________
____________________________________________________________
____________________________________________________________

5. In 50 words or less, what does ABSTINENCE mean to you?___
____________________________________________________________
____________________________________________________________
____________________________________________________________

6. Do you have an ear ring, nose ring, belly-button ring or 
tattoo? (Yes / No)
(Note: if you answer YES to any of #6, put down your pencil,
discontinue application, and leave premises).

7. Do you attend Church: (Yes / No)
   How often do you attend?_________

8. When would be the best time to interview your father, 
mother, priest/pastor?
____________________________________________________________

9. Answer by filling in the blank. Please answer freely - 
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 to be wounded is in the ______________________
      
      B. If I were beaten, the last bone in my body 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 is her _____________________________________
(Note: If answer E begins with "T" or "A", put down your 
pencil, discontinue application, and leave premises - keeping 
your head low and running in serpentine fashion is advised.)

10. What do you want to be IF you grow up? 
_____________________________________________________________

I SWEAR THAT ALL INFORMATION SUPPLIED ABOVE IS TRUE AND 
CORRECT TO THE BEST OF MY KNOWLEDGE; UNDER PENALTY OF DEATH, 
DISMEMBERMENT, NATIVE AMERICAN TORTURE, CRUCIFIXION, 
ELECTRICUTION, CHINESE WATER TORTURE, AND RED-HOT POKERS.