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.)