APPLICATION FOR PERMISSION TO DATE MY DAUGHTER
NAME________________________ DATE OF BIRTH______________
HEIGHT________ WEIGHT__________ IQ________ GPA__________
SOCIAL SECURITY #________________ DRIVERS LICENSE #__________
BOY SCOUT RANK AND BADGES_______________________________
HOME ADDRESS___________________ CITY/STATE__________ ZIP_____
Do you have ONE male and ONE female parent? ___________________________
If NO, please explain ____________________________________________
Number of years they have been married _______________________________
If less than your age, explain _______________________________________
Do you own a van? _______________
A truck with oversized tires? _______________
A waterbed? _______________
A pickup with a mattress in the back? _______________
A condom? _______________
Do you have earring, nose ring, or a belly button ring? _______________
A tattoo? _______________
(IF YES TO THE ABOVE, DISCONTINUE APPLICATION AND LEAVE PREMISES)
In 50 words or less, what does LATE mean to you?_______________________
In 50 words or less, what does DON'T TOUCH MY DAUGHTER, mean to you?
In 50 words or less, what does ABSTINENCE mean to you?
Church you attend __________________________________________________ ____
How often you attend __________________________________________
When would be the best time to interview your:
Answer by filling in the blank.
Please answer freely, all answers are confidential.
A: If I were shot, the last place I would want shot would be:
B: If I were beaten, the last bone 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 thing I notice about her first is:
NOTE: if answer E begins with T or A, discontinue.
Leaving premises keeping your head low and running
in a serpentine fashion is advised.
What do you want to do IF you grow up? ______________________________
What is the current going rate of a hotel room? _____________________
Condoms come in packages of (circle one)
E: ALL OF THE ABOVE
I SWEAR THAT ALL INFORMATION SUPPLIED ABOVE IS TRUE AND CORRECT TO THE
BEST OF MY KNOWLEDGE UNDER PENALTY OF DEATH, DISMEMBERMENT, NATIVE
AMERICAN ANT TORTURE, CRUCIFIXION, ELECTROCUTION, CHINESE WATER
TORTURE, RED HOT POKERS, AND HILLARY CLINTON KISS TORTURE.
Signature (that means sign your name moron)
[10:12pm]«@ [Matt]» he's all up in there like swimwear.