APPLICATION FOR PERMISSION TO DATE MY DAUGHTER

NOTE: This application will be incomplete and rejected unless accompanied by a complete financial statement, school history, job history, ancestral lineage, photo ID, DMV printout, a current medical report and drug test results from your doctor, and three references. A processing fee of $64.00 (cash only – non refundable) must also be included.

 

NAME __________________________________ DAYTIME PHONE NUMBER __________________

 

HOME ADDRESS _________________________ SUBURB ___________________

 

POSTCODE ________ STATE ________

 

DATE OF BIRTH ___________ HEIGHT/WEIGHT ______ HAIR COLOR & LENGTH ___________

 

TFN # ____________________ DRIVERS LICENSE ___________________________

 

IQ _________ GPA ___________ BOY SCOUT RANK AND BADGES _______________________

 

Do you have ONE male and ONE female parent? Yes _____ No _____

 

If NO, please explain ____________________________________________________________________

 

Number of years they have been married: _____

 

If less than your age, explain ______________________________________________________________

 

Do you own or have access to:

 

A panel van? Yes _____ No _____

 

If yes, does it have a mattress in the back? Yes _____ No _____

 

A 4WD or car with oversized tires? Yes _____ No _____

 

A waterbed? Yes _____ No _____

 

A condom? Yes _____ No _____

 

Pornography? Yes _____ No _____

 

A motorbike? Yes _____ No _____

 

Do you have an earring, nose ring, belly button ring, or tattoo? Yes _____ No _____

 

If you answered YES to any of the above questions, DISCONTINUE application – no need to re-apply.

 

In 50 words or less, what does LATE mean to you? (please attach)

 

In 50 words or less, what does DON'T TOUCH MY DAUGHTER, mean to you? (please attach)

 

In 50 words or less, what does ABSTINENCE mean to you? (please attach)

 

Church you attend _______________________________ How often? ___________________________

 

What was the reason your last girlfriend dumped you? _________________________________________

 

When would be the best time to interview your:

Father

Mother

Priest

Previous

Girlfriend

Principal

 

___:___ am pm

___:___ am pm

___:___ am pm

___:___ am pm

___:___ am pm

 

 

Answer the following by filling in the blank. Please answer freely, all answers are confidential.

 

A: If I were shot, the last place I would want to be 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: When I meet a girl, the first thing I notice is her: ____________________________________________

 

NOTE: If answer E begins with T or A, discontinue. Leaving premises while keeping your head low and running in a serpentine fashion is strongly advised.

 

F: What is the current going rate of a hotel room? _____________________________________________

 

G: The drug store sells condoms in packages of (circle one):

A: 3

B: 6

C: 9

D: 12

E: I don’t know because I buy them in bulk quantities from the manufacturer.

 

H: The last girl that I dated had a bra that used:

A: 1 hook

B: 2 hooks

C: 3 hooks

D: a snap in the front and was easy to remove.

 

I: My car or truck is equipped with the following (check all that apply):

___ A very large & wide front (or rear) bench seat

___ Front buckets seats that fold down flat

___ A gun rack

___ A V8 engine with over 300 horsepower ( Best 1/4 mile time: ________ )

___ A 6000 watt stereo that is louder that most jet planes

 

J: What do you want to do IF you grow up? __________________________________________________

 

I SWEAR THAT ALL INFORMATION SUPPLIED ABOVE IS TRUE AND CORRECT TO THE

BEST OF MY KNOWLEDGE UNDER PENALTY OF DEATH, DISMEMBERMENT, CHINESE WATER TORTURE ,CRUCIFIXION, CASTRATION, ELECTROCUTION, RED HOT POKERS, AND JOHN HOWARD KISS TORTURE.

 

____________________________________________

Signature (that means sign your name, moron)

 

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Thank you for your interest in my daughter.

 

Please allow four to six years for processing.

 

Please do not try to call or write (since you probably can't, and it would cause you injury) while waiting for processing.

 

If your application is approved, you will be contacted in writing. We will then

schedule a pre-date meeting with my daughter, myself, and the armed, off-duty police

officers who will tail you during the date. On the evening of the date, please arrive at

least 30 minutes early so that your auto may be searched and a final urine sample taken.

 

If your application is rejected, you will be notified by two gentleman wearing black

shirts and white ties carrying violin cases (you might want to watch your back).

 

All decisions are final but you may reapply in 50 years.

 

--------------------- DO NOT MARK BELOW THIS LINE - OFFICIAL USE ONLY -----------------------

 

Final judgment & disposition:

Approved _____ Rejected _____ Kill Him ______