Application for Permission to Date My Daughter

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 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 mattress 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 DAUGHTER" 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 would 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 INFORMATION SUPPLIED ABOVE IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE UNDER PENALTY OF DEATH, DISMEMBERMENT, NATIVE AMERICAN ANT TORTURE, 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 for processing.

You will be contacted in writing if you are approved.  Please do not try to call or write (since you probably can't, and it would cause you injury). If your application is rejected, you will be notified by two gentleman wearing white ties carrying violin cases. (you might watch your back)

 

Author unknown. One person says that this “was written by John Sherbondy
of Council Bluffs, Iowa. It appeared in his wifes column in the Nonpareil
Newspaper called Kippies Corner.” (abt. 1993) I’ve tried to contact
Mr. Sherbondy to confirm but haven’t succeeded yet.

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