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 boyscout rank?
2. Do you have one male and one female parent? ____
If "No", explain:
3. Do you own or have access to a van? ____
4. A truck with oversize tires? ____
5. A waterbed? ____
*If you have answered YES to #3, #4 or #5, discontinue application and leave
immediately.*
6. Do you have an earring, nose ring, or belly buttonring? ____
7. Do you have a tattoo? ____
8. In fifty words or less, what does LATE mean to you?
9. In fifty words or less, what does DON'T TOUCH MY DAUGHTERmean 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
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 boyscout rank?
2. Do you have one male and one female parent? ____
If "No", explain:
3. Do you own or have access to a van? ____
4. A truck with oversize tires? ____
5. A waterbed? ____
*If you have answered YES to #3, #4 or #5, discontinue application and leave
immediately.*
6. Do you have an earring, nose ring, or belly buttonring? ____
7. Do you have a tattoo? ____
8. In fifty words or less, what does LATE mean to you?
9. In fifty words or less, what does DON'T TOUCH MY DAUGHTERmean 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
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