Application for Permission to Date My Daughter
Note: This application will be incomplete and rejected unless accompanied by a complete financial statement, job history, lineage and medical report from your doctor.
Date Of Birth:____/____/____
Boy Scout Rank:_____________
Home Phone#: (___)___________
Do you own
b. Truck with oversized tires?____
c. Car with a trunk full of speakers?_____
Do you have any of the following:
a. An earring_____
b. nose ring______
c. belly button ring_____
or piercings on any other body parts_____
(If you answered YES to any of the above questions,
discontinue and leave the premises immediately.)
In 30 words or less, what does "LATE" mean to you?
In 30 words or less, what does "DON'T TOUCH MY
DAUGHTER" mean to you?
Church you attend_____________________
Best time to interview your pastor?_________________
Fill In The Blank. Please answer freely, all answers will be confidential.
a. If I were beaten, the last bone I want to be broken
b. The one thing I hope this application does not ask
c. Now answer the question you filled in on
NOTE: If you have answered any of the previous questions dishonestly (and I will find out),
discontinue application. It is advised that you leave the premises quickly keeping your head low and running in serpentine fashion. I swear that all information provided above is true and correct to the best of my knowledge under penalty of death, dismemberment, electrocution, and/or hot pokers.
Signature (This means sign your name)
Thank you for your interest. Please allow 4 - 6 YEARS for processing. If your application is approved, you
will be contacted in writing. Please do not call or write, this could cause you unexpected injury.
If your application is rejected, you will be notified by two men wearing white ties and answering to the
names GUIDO and LOUIE.