APPLICATIONTODATEMYDAUGHTER

APPLICATION 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 physician.

1. What is your name, age, social security number, IQ and boy scout rank? :

2. Do you have one male and one female parent? Yes No

If "No", explain:

3. Do you own or have access to a van? Yes No

4. A truck with oversize tires? Yes No

5. A waterbed? Yes No

6. Do you have an earring, nose ring, or belly button ring? Yes No

7. Do you have a tattoo? Yes No

*If you have answered YES to #3, #4, #5, #6 or #7; discontinue application and leave immediately.

8. In fifty words or less, what does LATE mean to you?

9. In fifty words or less, what does DON'T TOUCH MY DAUGHTER mean to you?

10. In fifty words or less, what does ABSTINENCE mean to you?

11. In fifty words or less, what does REAL PAIN mean to you?

12. Church/Temple you attend: ____________________________

13. How often do you attend: ____________________________

14. When would be the best time to interview your mother, father and priest/rabbi?

15. Please fill in the blanks:

If I were shot, the last place on my body I would want wounded would be my: __________
If I were beaten, the last bone I would want broken would be my: __________
A woman's place is in the: _________
The one thing I hope this application doesn't ask is: __________
When I meet a girl, the one thing I always notice about her first is: __________

*Note: If answer to last question begins with "T" or "A", discontinue and leave premises keeping your head low and running in a serpentine fashion is advised*

What do you want to be IF you grow up? __________

I swear that all the above information is correct to the best of my knowledge under penalty of death, bodily harm, dismemberment, torture or mental abuse.

Signature of applicant: ______________________________

Signature of father: ______________________________

Signature of mother : ______________________________

Signature of priest/rabbi: ______________________________

Signature of State Representative: ______________________________

Thank you for your interest, and it had better be genuine and non-sexual. Please allow 4-6 years for processing. You ill be contacted in writing if approved. If denied, please never apply again. Don't call me, I'll call you.