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Application to date
Application to date my daughter (REVOCABLE AT ANY TIME) NOTE - This application will be Incomplete and rejected unless accompanied by a complete financial statement, job history, lineage, and current medical report from your doctor. 1. NAME:_____________________ DATE OF BIRTH: _______________ 2. HEIGHT:___________ WEIGHT: ______IQ: ________GPA: ______ 3. SOCIAL SECURITY #: ___________DRIVERS LICENSE #: _________ 4. BOY SCOUT RANK:_______________________________________ 5. HOME ADDRESS: ________________CITY: _________ ZIP ______ 6. Do you have one MALE and one FEMALE parent? Yes____ No_______ If NO, explain: ________________________________________________ 7. Number of years parents married: ___________ 8. DO YOU OWN A VAN? ____ A TRUCK WITH OVERSIZED TIRES OR CAMPER SHELL? ____ WATERBED? _____ MOTORCYCLE? _____ TATOO? ____ COLOR ALTERED HAIR? ___ (IF YES TO ANY PART OF #8, DISCONTINUE APPLICATION AND LEAVE PREMISES IMMEDIATELY) 9. In 50 words or less, what does "Late" mean to you? _________________________________________________________ 10. In 50 words or less, what does "DO NOT TOUCH MY DAUGHTER" mean to you? _________________________________________________________ 11. In 50 words or less, what does "ABSTINENCE" mean to you? _________________________________________________________ 12. What church do you attend? ________________ How often do you attend? ____/ week 13. When would be the best time to interview your father, mother, priest or pastor? ____________ 14. Fill in the blanks: Please answer freely - all answers are confidential (That means I won't tell anyone - I promise): A. If I were shot, the last place on my body I would want to be wounded is in the _____________ B. If I were beaten, the last bone I would want broken is my _____________ C. A women'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 first thing I notice is _____________________ (NOTE: If the answer to "E" begins with a B, T, or A, discontinue and leave the premises immediately with your head hung low.) 15. What do you want to be IF you grow up? _________________________ 16. Do you plan to attend a Catholic or Christian College? _________ Which one? ____________
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