Application To Date My Daughter
1. Name_________________________ Date of Birth____________
2. Height _________ Weight________ IQ________ GPA________
3. Social Security # ______________ Driver’s licence #__________
4. Boy Scout Rank_____________________________________
5. Home Address_____________ City/State ____________ Zip____
6. Do you have one male and one female parent? ____________
If no, explain answer _________________________________
7. Number of years parents married ________________________
8. Do you own a van? _______ A truck with oversized tires?______ Do you have an earring, nose ring, or belly button ring? _______ Do you have a tattoo?_________ (if yes to any of #8, discontinue application and leave the premises)
9. In 50 words or less, what does LATE mean to you? ____________ ____________________________________________________.
10. In 50 words or less, what does “DON’T TOUCH MY DAUGHTER!” mean to you? __________________________________________________________.
11. Do you love Jesus? __________ Church you attend _______________ How often do you attend? ______________________
12. When is the best time to interview you father, mother, and pastor? Father ____________ Mother___________ Pastor__________
13. Answer by filling in the blank: please answer all questions freely, all answers are confidential (that means I won’t tell anyone ever — promise)
A. If I were shot, the last place I would want to be wounded is in the __________________
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 doesn’t ask is________________________________________
E. When I first meet a girl, the thing I notice about her first is ______________
14. What do you want to be “if” you grow up? ________________
15. Are you willing to wear an electronic tracking device? _______
I swear all information supplied above is true and correct to the best of my knowledge under penalty of death, dismemberment, crucifixion, electrocution, Chinese water torture, and red hot pokers.
Signature ________________________
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