Application to date my daughter

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Full Name (first, middle, last) __________________________________

Date of Birth __/___/___ Height_____ Weight_____ IQ_____ GPA______

Social Security #____-____-____ Driver’s License #_________________

Boy Scout Rank______________________________________________

Home Address (city, state, zip)__________________________________ _______________________________________________apt. # _______

Do you have one MALE and one FEMALE parent in the home? (y/n))_____

If no, please explain:___________________________________________

____________________________________________________________

Do you own:

A van? (y/n)____
Truck w/oversized tires? (y/n) _____
Waterbed? (y/n)____

Do you have an earring, nose ring, nipple ring, belly button ring, tattoo? (circle all that apply)

In 50 words or less…

What does the word "LATE" mean to you?___________ ______________________________________________________________

In at least 25 words...What do the words, " Don’t touch my daughter mean to you" ? _______________________________________________________ ________________________________________________________

In at least 25 words...What does the word "ABSTINENCE" mean to you? _______________________________________________________________ _______________________________________________________________

Feel free to use back of page or attach additional sheets for above questions.

Church you attend:____________________

How often?_________________

When would be the best time to interview your father, mother, and priest or other religious education provider?____________________________________________________ _____________________________________________________________

Answer the following freely and completely honestly. All Answers are Confidential (that means I will not tell anyone --ever—really! I promise! )

If I were shot, the last place on my body I would want to be wounded is____________________.
If I were beaten, the last bone I would want broken is my____________.
A woman’s place is_______________________________.
The "one" thing I hope this application doesn’t ask me about is ____________________ _________________________________________________________________________ _________________________________________________________________________.
When I meet a girl, the first thing I notice about her is_____________.*
- Note...if the answer to this question begins with T or A Discontinue at this point and leave the 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 information supplied above is true and correct to the best of my knowledge, under penalty of death, a severe beating, dismemberment, torture, crucifixion, electrocution. Any penalty will be decided at the whim of the father.

Signature ________________________________ Date ________

Witness ________________________________ Date ________

Character Reference ________________________________ Date ________

Notarized ________________________________ Date ________

Note: This application will be considered incomplete and rejected unless accompanied by a complete financial statement, copy of birth certificate, job history, lineage, and a current medical report from your doctor.

Please allow four (4) to six (6) years for processing. You will be contacted in writing if you are approved. Do not call or write as this will only delay the procedure and possibly cause you undue anxiety, if not a visit from the Terminator. If your application is rejected, you will be notified in person by two well dressed gentlemen with violin cases. Do not turn your back on them.

Thank you for your interest!

Have a NICE DAY!