APPLICATION FOR PERMISSION

APPLICATION FOR PERMISSION

TO DATE MY DAUGHTER

NOTE: THIS APPLICATION WILL BE INCOMPLETE AND REJECTED UNLESS ACCOMPANIED BY A COMPLETE FINANCIAL STATEMENT, WORK HISTORY, LINEAGE, AND CURRENT MEDICAL REPORT FROM YOUR DOCTOR.

1. NAME_________________________________

DATE OF BIRTH___/___/___

2.HEIGHT__________________WEIGHT___________IQ______GPA_______
3. SOCIAL SECURITY#______________DRIVERS LIC#_______________
4. BOY SCOUT RANK___________________________
5. HOME ADDRESS______________CITY/STATE_______________ZIP_______
6. DO YOU HAVE ONE MALE AND ONE FEMALE PARENT?_______________
IF NO, PLEASE EXPLAIN___________________________________
7. NUMBER OF YEARS PARENTS MARRIED?____________________
8. DO YOU OWN A VAN?________________MOTORCYCLE?______________
TRUCK WITH OVERSIZED TIRES?___________WATERBED?____________
DO YOU HAVE AN EARRING?____NOSE RING?____BELLY BUTTON RING__
9. IN 50 WORDS OR LESS, WHAT DOES DON'T TOUCH MY DAUGHTER MEANS TO YOU?__________________________________________________
10. IN 50 WORDS OR LESS, WHAT DOES LATE MEAN TO YOU?________________________________________________________
11. IN 50 WORDS OR LESS, WHAT DOES ABSTINENCE MEANS TO YOU?__________________________________________
12. CHURCH YOU ATTEND?________________________
13. WHEN WOULD BE THE BEST TIME TO INTERVIEW YOU FATHER?_________MOTHER?___________PRIEST?__________
14. ANSWER BY FILING IN THE BLANK. PLEASE ANSWER FREELY, ALL ANSWERS ARE CONFIDENTIAL (THAT MEANS I WON'T TELL ANYONE)
A. IF I WERE SHOT, THE LAST PLACE ON BY BODY I WOULD WANT WOUNDED IS THE ________________
B. IF I WERE BEATEN, THE LAST PLACE I WOULD WANT BROKEN IS MY _____________
C. A WOMAN'S PLACE IS IN THE ______________
D.. THE ONE THING I HOPE THIS APPLICATIONS DOESN'T ASK IS _________
E. WHEN I FIRST MEET A GIRL, THE THING I NOTICE FIRST IS HER ________
15. WHAT DO YOU WANT TO BE IF YOU GROW UP?________________

I SWEAR THAT ALL OF THE INFORMATION SUPPLIED ABOVE IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE UNDER PENALTY OF DEATH, DISMEMBERMENT, NATIVE AMERICA ANT TORTURE, ELECTROCUTION, CHINESE WATER TORTURE, RED HOT POKERS.

_________________________________
SIGNATURE (THAT MEANS YOU SIGN YOUR NAME)

THANK YOU FOR YOUR INTEREST. PLEASE ALLOW FOUR TO SIX YEARS FOR PROCESSING. YOU WILL BE NOTIFIED IN WRITING IF YOU ARE APPROVED. PLEASE DO NOT CALL OR WRITE (as it will delay your application.)

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