Application!

[Johnn]

APPLICATION FOR THE PERMISSION TO DATE MY DAUGHTER PLEASE ANSWER FREELY. ALL ANSWERS ARE CONFIDENTIAL This application will be incomplete and rejected unless accompanied by a complete financial statement, school history, job history, ancestral lineage, DMV printout, and a current medical report from your doctor.
NAME ______________________________________________________________
DATE OF BIRTH ___________________
HEIGHT ________
WEIGHT ____________
IQ ______
GPA _______
SOCIAL INSURANCE NO. ________________________
DRIVER’S LICENCE NO. ________________________
HOME ADDRESS _____________________________________________________
HOME PHONE _________________________________
Do you have at least one male and one female parent? If no, please explain.________________________________
No. of years they have been married. If less than 10, please explain. ________________
Do you own a van?__________
A truck with oversize tires? _________________
A waterbed? ___________________
A Pick-up with a mattress in the back? _____________
A condom? ____________
Pornography? _________________________
IF YOU ANSWERED YES TO ANY OF THE ABOVE, DISCONTINUE WITH THE APPLICATION AND LEAVE THE PREMISES.