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APPLICATION FOR PERMISSION TO DATE MY APPLICATION FOR PERMISSION TO DATE 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 doctor. NAME_____________________________________ DATE OF BIRTH_____________ HEIGHT___________ WEIGHT____________ IQ__________ GPA_____________ SOCIAL SECURITY #_________________ DRIVERS LICENSE #______________ BOY SCOUT RANK AND BADGES__________________________________________ HOME ADDRESS_______________________ CITY/STATE___________ ZIP______ Do you have parents? ___Yes ___No Is one male and the other female? ___Yes ___No If No, explain: _____________________________________________________________ _____________________________________________________________________ Number of years they have been married ______________________________ If less than your age, explain ____________________________________________________________________ ____________________________________________________________________ ACCESSORIES SECTION: A. Do you own or have access to a van? __Yes __No B. A truck with oversized tires? __Yes __No C. A waterbed? __Yes __No D. A pickup with a mattre in the back? __Yes __No E. A tattoo? __Yes __No F. Do you have an earring, nose ring, __Yes __No pierced tongue, pierced cheek or a belly button ring? (IF YOU ANSWERED 'YES' TO ANY OF THE ABOVE, DISCONTINUE APPLICATION AND LEAVE PREMISES IMMEDIATELY. I SUGGEST RUNNING.) ESSAY SECTION: In 50 words or less, what does 'LATE' mean to you? ______________________________________________________________ ______________________________________________________________ In 50 words or less, what does 'DON'T TOUCH MY ' mean to you? _________ _____________________________________________________ ______________________________________________________________ In 50 words or less, what does 'ABSTINENCE' mean to you?<> ______________________________________________________________ ______________________________________________________________ REFERENCES SECTION: Church you attend ___________________________________________________ How often you attend ________________________________________________ When would be the best time to interview your: father? _____________ mother? _____________ pastor? _____________ SHORT-ANSWER SECTION: Answer by filling in the blank. Please answer freely, all answers are confidential. A: If I were shot, the last place I wo uld want shot would be: ______________________________________________________________ B: If I were beaten, the last bone I would want broken is my: ____________________________________________________________ C: A woman's place is in the: ______________________________________________________________ D: The one thing I hope this application does not ask me about is: ______________________________________________________________ E. What do you want to do IF you grow up? ___________________________ ______________________________________________________________ ______________________________________________________________ F. When I meet a girl, the thing I always notice about her first is: ______________________________________________________________ F. What is the current going rate of a hotel room? __________________ I SWEAR THAT ALL INFORMAT ION SUPPLIED ABOVE IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE UNDER PENALTY OF DEATH, DISMEMBERMENT, NATIVE AMERICAN ANTORTURE, CRUCIFIXION, ELECTROCUTION, CHINESE WATER TORTURE, RED HOT POKERS, AND HILLARY CLINTON KISS TORTURE. _________________________________________________________ Applicant's Signature (that means sign your name, moron!) _______________________________ ________________________________ Mother's Signature Father's Signature _______________________________ ________________________________ Pastor/Priest/Rabbi State Representative/Congressman Thank you for your interest, and it had better be genuine and non-sexual. Please allow four to six years... 
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in the meantime.. the applicant has already made first base with your daughter's full consent while you think he is waiting for "six years" lolz
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