To date my daughter

APPLICATION FOR PERMISSION TO DATE MY DAUGHTER
Print out and submit as per instructions at the bottom of the form.
1. Name :__________________________________________________ Date of Birth:_________________
2. Height :___________________________ Weight :_______________________ GPA :________________
3. Social Sec. #_______________________ Drivers license#______________________________________
4. Boy Scout Rank :__________________________
5. Home address :____________________________ City/ State____________________________________
6. Do you have one male and one female parent ?Yes _______ No _______
7. If no, explain :____________________________________________________________

_____________
8. Number of years parents married:__________________________________________________________
9. Do you own a van ?______ A truck with oversized tires ?______ A water bed ?_______
10. Do you have an earring , nose ring , belly-button ring ?______ A tattoo ?_______(If yes to any of #9 or #10, Discontinue application and leave premises ...
11. In ten words or less, what does LATE mean to you ?___________________________________________
12. In ten words orless, what does Abstinence mean to you ?______________________________________
13. In ten words or less, what does DON'T TOUCH MY DAUGHTER mean to you ?_______________________________________________________________________________

___________________________
14. Church you attend :_________________________________ How often you attend :_______________
15. When would be the best time tointerview your Father, Mother, And Minister ? ___________________
16. What would you want to be IF you grew up ? _______________________________________________
Answer by filling in the blanks.Please answer freely - all answers are confidential
(that I won't tell anyone - ever- I promise).
If I were shot, the last place on my body I would want wounded is in the __________________________...