APPLICATION FOR PERMISSION TO DATE MY DAUGHTER
Print out and submit as per instructions at the bottom of the form.
2. Height C, Weight C, GPA :
3. Social See, ' Drivers license '
4, Boy Scout Rank C,
5. Home address C, City/ State
6, Do you have one male and one female parent , Yes No
7, If no, explain I
E. parents married:
9. Doyou ottavan? Struck with oversized tires‘? Avatarded?
w, Do you have an earring , nose ring ' ring 'l A tattoo ,
If yes to any of #9 or #10, Discontinue application and leave premises KAI
ll, In ten words or less, what does LATE mean to you ?
12., In ten words or less, what does Abstinence mean to you ,
13., In ten words or less, what does DONT TFISCH MY DAUGHTER mean to you ,
M., Church you attend ', How often you attend I
IS., When would be the best time to interview your Father, Mother, And Minister ,
16., What would you want to be IF you grew up 'l
Answer by filling in the blanks. Please answer freely " all answers are traffi&
thatl won' t tell anyone " even ].
HI were sloot, thelast place on my body I would want wounded is inthe
HI were I worldwake
The one t. hing I hope this application does not ask me about is
Wheni firstpost agirl, thethingy I notice
Note: Meanswer begins with T or A, discontinue and leave premises: Keeping your head low and running in
a serpentine fashion is advised.)
I SWEAR THAT THE INFORMATION SUPPLIED IS TRUE AND CURE TE THE BEST MY KNOWLEDGE UNDER PENALTY OF: NATIVE AMERICAN ANT TORTURE. ELECTROCUTION,