Application For Permission To Date My Daughter.
Note: This application will be incomplete & rejected unless accompanied by
a complete financial statement, lineage history, & current medical report
from a doctor of my choosing.
NAME____________________________________________________________________
DATE OF BIRTH ____________________________________
HEIGHT_______________WEIGHT____________________IQ________________GPA________
SOCIAL SECURITY #________________________ DL#________________
BOY SCOUT RANK______________________SUNDAY SCHOOL ATTENDED___________________
Do you have one MALE & one FEMALE parent?___If "no" explain on back of this page.
Number of years parents married?__ Any brothers or sisters?___Are they normal?___
Do you own or have access to a van___ a truck with oversized tires__a waterbed___
Do you have an ear ring, nose ring, or belly button ring_______ A tattoo________
(If yes to any of these, discontinue application & leave premises IMMEDIATELY!)
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In 50 words or less, what does "Don't touch my daughter" mean to you?_______________
____________________________________________________________________________________
_________________________________________________________________________________
In 50 words or less what does the word "No" mean to you?____________________________
_________________________________________________________________________________
_______________________________________________________________________________
In 50 words or less, give your definition of "REAL PAIN"____________________________
____________________________________________________________________________________
_______________________________________________________________________________
Church you attend______________________How often do you attend S,M,Tu,W,Th,F,S
When would be the best time to interview your Mom, Dad, & Minister__________________
____________________________________________________________________________________
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CHARACTER WITNESSES
Each witness must have character references from 3 people, pass a background check, & sign a statement agreeing to a polygraph test if ask.
Witness #1_______________________
Witness #2_______________________
Witness #3______________________
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If you should fail ANY part of this test, please do not ever apply again.
Do NOT call us, we will call you if indeed you should be accepted. (Don't hold your breath Bubba!!!)
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